Dayan K, Neufeld D M, Lang R, Novis B, Bernheim J, Freund U
Dept. of Surgery A, Meir General Hospital.
Harefuah. 1993 Feb 1;124(3):124-6, 184.
A 53-year-old man is reported who developed a widespread gastrointestinal infection due to cytomegalic (CMV) virus and was found to be suffering from AIDS. He died of overwhelming pulmonary infection. There is need for awareness of the rapid increase of AIDS in our local population, particularly in groups not regarded as at high risk. It is imperative to keep this diagnosis in mind when dealing with patients with gastroenterocolitis not responding to standard treatments. CMV has a broad spectrum of clinical manifestations, from carrier state to life-threatening infection. In the gastrointestinal system it causes inflammation and ulcers in the mucosa that may bleed or perforate. There are increasing numbers of reports of CMV ileocolitis in homosexuals with AIDS. The rate of sero-positive CMV in healthy homosexual populations is 94-100% and in 14% there is active infection. CMV is the main infective agent in patients suffering from AIDS; 90% will develop an infection with this virus and in most cases it will be fatal.
据报道，一名53岁男子因巨细胞（CMV）病毒引发广泛的胃肠道感染，被发现患有艾滋病。他死于严重的肺部感染。有必要认识到艾滋病在我们当地人群中迅速增加的情况，特别是在那些不被视为高危人群的群体中。在处理对标准治疗无反应的胃肠结肠炎患者时，必须牢记这一诊断。CMV具有广泛的临床表现，从携带状态到危及生命的感染。在胃肠道系统中，它会导致黏膜炎症和溃疡，可能会出血或穿孔。艾滋病同性恋者中CMV回肠结肠炎的报告越来越多。健康同性恋人群中CMV血清阳性率为94% - 100%，其中14%存在活动性感染。CMV是艾滋病患者的主要感染病原体；90%的患者会感染这种病毒，且在大多数情况下是致命的。
