Meza A D, Bin-Sagheer S, Zuckerman M J, Morales C A, Verghese A
Department of Medicine, Texas Tech University Health Sciences Center, El Paso 79905.
J Natl Med Assoc. 1994 Feb;86(2):145-8.
This article reports a case of cytomegalovirus (CMV) ileitis with perforation in a woman with transfusion-acquired human immunodeficiency virus (HIV) infection. The clinical problem of small bowel perforation due to CMV disease in association with HIV infection is emphasized. Typically, a patient with a history of chronic diarrhea, fever, and abdominal pain develops the superimposed picture of an acute abdomen and has pneumoperitonium on radiograph. The prognosis is poor.
本文报道了一例因输血感染人类免疫缺陷病毒(HIV)的女性患者发生巨细胞病毒(CMV)性回肠炎并穿孔的病例。强调了CMV疾病合并HIV感染导致小肠穿孔的临床问题。通常,有慢性腹泻、发热和腹痛病史的患者会出现急性腹痛的叠加症状,X线检查显示有气腹。预后较差。