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一名严重急性呼吸综合征冠状病毒2感染患者的巨细胞病毒性胃炎:病例报告及文献综述

Cytomegalovirus gastritis in a patient with severe acute respiratory syndrome coronavirus 2 infection: A case report and literature review.

作者信息

Taherifard Ehsan, Mortazavi Roozbeh, Mokhtari Maral, Taherifard Ali, Kiani Salmi Sima, Taherifard Erfan

机构信息

Internal Medicine Department, Shiraz University of Medical Sciences, Shiraz, Iran.

Pathology Department, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Respir Med Case Rep. 2022 Apr 2;37:101644. doi: 10.1016/j.rmcr.2022.101644. eCollection 2022.

Abstract

In this study, we reported a previously immunocompetent patient who developed cytomegalovirus-induced gastric ulcers after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. A 33-year-old man was referred to our center with complaints of persistent dysphagia and odynophagia, and epigastric pain and discomfort after ingesting solids or liquids, a few days after his hospital discharge following admission to treat coronavirus disease 2019 (Covid-19). Endoscopy revealed inflammation and a whitish exudate in the esophagus, and multiple large active ulcers in the stomach. Histopathological and immunohistochemical findings were strongly suggestive of cytomegalovirus infection.

摘要

在本研究中,我们报告了一名既往免疫功能正常的患者,其在感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)后出现了巨细胞病毒诱导的胃溃疡。一名33岁男性因持续吞咽困难、吞咽痛以及在摄入固体或液体后出现上腹部疼痛和不适而被转诊至我们中心,这些症状出现在他因治疗2019冠状病毒病(Covid-19)入院出院几天后。内镜检查显示食管有炎症和白色渗出物,胃内有多个大的活动性溃疡。组织病理学和免疫组织化学结果强烈提示巨细胞病毒感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ce/8987400/d60a0926ec8c/gr1a.jpg

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