Vera-Sempere F J, Ramos V, Blanes M, Sala T, Prieto M, Cortés B
Hospital Universitario La Fe, Valencia.
Rev Esp Enferm Dig. 1995 Jan;87(1):49-52.
Esophageal candidiasis, along with gastritis caused by cytomegalovirus--CMV--, is a common opportunistic infection in immunodepressed patients. A clinico-pathological description is made of a human immunodeficiency virus-positive female (group IV-C-2) with a history of odynophagia and dysphagia resistant to treatment. The light microscopy and immunohistochemical study of an endoscopic esophago-gastric biopsy allowed the diagnosis of moniliasic esophagitis associated with CMV-induced gastritis. Emphasis is placed on the efficacy of immunohistochemical techniques over other methods in diagnosing CMV infection.
食管念珠菌病,以及由巨细胞病毒(CMV)引起的胃炎,是免疫抑制患者常见的机会性感染。本文对一名有吞咽痛和吞咽困难病史且治疗无效的人类免疫缺陷病毒阳性女性(IV-C-2组)进行了临床病理描述。通过对内镜下食管胃活检组织进行光镜和免疫组化研究,诊断为与CMV诱导的胃炎相关的念珠菌性食管炎。强调了免疫组化技术在诊断CMV感染方面相对于其他方法的有效性。