Kram H B, Hino S T, Cohen R E, DeSantis S A, Shoemaker W C
Crit Care Med. 1984 May;12(5):469-71. doi: 10.1097/00003246-198405000-00014.
We report a case of spontaneous perforation of the transverse colon due to multiple ulcerations infected with cytomegalovirus (CMV) in a patient suffering from acquired immune deficiency syndrome (AIDS). The authors recommend a thorough clinical and laboratory search (including tissue diagnosis, when possible) for evidence of CMV infection in immunosuppressed patients with new or poorly healing GI ulcerations, who are otherwise at risk for CMV infection, e.g., patients with AIDS. When performing surgery on AIDS patients, operating room protocol should be identical to that used for hepatitis B virus patients.
我们报告了一例因巨细胞病毒（CMV）感染导致多处溃疡而引起横结肠自发性穿孔的病例，该患者患有获得性免疫缺陷综合征（AIDS）。作者建议对患有新的或愈合不良的胃肠道溃疡且有CMV感染风险的免疫抑制患者，如艾滋病患者，进行全面的临床和实验室检查（如有可能包括组织诊断），以寻找CMV感染的证据。在为艾滋病患者进行手术时，手术室规程应与用于乙肝病毒患者的规程相同。
