St Onge G, Bezahler G H
Gastroenterology. 1982 Jul;83(1 Pt 1):127-30.
A young, former homosexual, and narcotics-abusing male patient developed malaise, fever, lymphadenopathy, esophageal candidiasis, lymphopenia, and anergy progressing to severe odynophagia and a weight loss of 60 lb. Repeated endoscopic examinations revealed a progressively enlarging giant esophageal ulcer. Rigid endoscopic biopsy specimens and autopsy specimens demonstrated innumerable typical cytomegalovirus inclusions in the esophageal ulcer and no invasive candidiasis. Inclusions were also demonstrated in clinically silent smaller ulcers of the terminal ileum, colon, and adrenals. This case illustrates a further gastrointestinal manifestation of cytomegalovirus disease.
一名年轻的、曾有同性恋史且滥用麻醉品的男性患者出现不适、发热、淋巴结病、食管念珠菌病、淋巴细胞减少和无反应性，病情进展为严重的吞咽痛和体重减轻60磅。多次内镜检查显示食管巨大溃疡逐渐增大。硬质内镜活检标本和尸检标本显示食管溃疡中有无数典型的巨细胞病毒包涵体，无侵袭性念珠菌病。在回肠末端、结肠和肾上腺临床上无症状的较小溃疡中也发现了包涵体。该病例说明了巨细胞病毒病的进一步胃肠道表现。
