Diethelm A G, Gore I, Ch'ien L T, Sterling W A, Morgan J M
Am J Surg. 1976 Mar;131(3):371-4. doi: 10.1016/0002-9610(76)90136-7.
Generalized cytomegalovirus infection was associated with massive and ultimately fatal upper gastrointestinal bleeding in a renal allograft recepient and persisted even after subtotal gastric resection. The surgical specimen and the remaining stomach at autopsy revealed multiple superficial ulcerations with cytomegalic inclusion bodies within the gastric mucosa. Renal failure in the terminal stages of the patient's illness required hemodialysis but did not seem to be the sole result of allograft rejection, suggesting that the renal dysfunction may be caused by the systemic viral infection.
广泛性巨细胞病毒感染与一名肾移植受者严重且最终致命的上消化道出血相关,即便在胃次全切除术后仍持续存在。手术标本及尸检时剩余的胃显示胃黏膜有多个浅表溃疡,伴有巨细胞包涵体。患者疾病终末期的肾衰竭需要血液透析,但似乎并非移植肾排斥的唯一结果,这表明肾功能障碍可能由全身性病毒感染所致。