Weiss D J, Greenfield J W, O'Rourke K S, McCune W J
Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor.
J Rheumatol. 1993 Jan;20(1):155-7.
A patient with Wegener's granulomatosis developed a systemic cytomegalovirus infection that mimicked an exacerbation of her vasculitis including pulmonary infiltrates, renal insufficiency, and cutaneous necrotizing ulcers. All of her symptoms resolved with ganciclovir. Physicians should maintain a high index of suspicion for similar presentations in other patients with vasculitis with or without immunosuppressive therapy.
一名韦格纳肉芽肿病患者发生了全身性巨细胞病毒感染,其症状类似于血管炎的加重,包括肺部浸润、肾功能不全和皮肤坏死性溃疡。使用更昔洛韦后,她所有的症状都得到了缓解。对于其他血管炎患者,无论是否接受免疫抑制治疗,医生都应高度怀疑类似的表现。