Chang A E, Young N A, Reddick R L, Orenstein J M, Hosea S W, Katz P, Brennan M F
Surgery. 1978 Apr;83(4):371-4.
A 40-year-old woman with Sjögren's syndrome and mixed cryoglobulinemia, treated with corticosteroids, presented with small bowel obstruction temporally associated with cutaneous varicella-zoster (V-Z) infection. At laparotomy a portion of inflamed, necrotic small bowel was resected. Cells in the margin of the lesion exhibited characteristic intranuclear inclusion bodies. This case report emphasizes the multiple organ involvement that can occur with disseminated V-Z infection. Despite the rarity of gastrointestinal involvement, this infection must be included in the differential diagnosis of the acute abdomen in patients with cutaneous vesicles.
一名40岁患有干燥综合征和混合性冷球蛋白血症的女性，接受了皮质类固醇治疗，出现了与皮肤水痘-带状疱疹（V-Z）感染在时间上相关的小肠梗阻。在剖腹手术中，切除了一部分发炎、坏死的小肠。病变边缘的细胞显示出特征性的核内包涵体。本病例报告强调了播散性V-Z感染可能发生的多器官受累情况。尽管胃肠道受累罕见，但在有皮肤水疱的患者出现急腹症时，这种感染必须列入鉴别诊断。
