Mühlhöfer A, Jung C, Gross M
Medizinische Poliklinik, Klinikum Innenstadt, Ludwig-Maximilians-University Munich, Pettenkoferstr. 8a, Munich D-80336, Germany.
Eur J Med Res. 1997 Nov 28;2(11):469-72.
We report on a 31-year-old AIDS patient who presented with rapid progressive fatigue, weakness, weight loss and hyperpigmentation. Endoscopy showed an ulcerous CMV gastritis with the histological hallmarks of this disease. In addition, laboratory tests revealed the constellation of an adrenal insufficiency with low plasma levels of sodium and increased levels of potassium and ACTH. After initiation of ganciclovir treatment, the CMV gastritis healed and the electrolyte abnormalities were resolved within 2 weeks. We assume that a CMV adrenalitis was treated in a reversible stage. The literature on CMV adrenalitis is reviewed to support this conclusion.
我们报告了一名31岁的艾滋病患者，其表现为快速进展的疲劳、虚弱、体重减轻和色素沉着。内镜检查显示为溃疡性巨细胞病毒胃炎，并具有该疾病的组织学特征。此外，实验室检查显示存在肾上腺功能不全，血浆钠水平低，钾和促肾上腺皮质激素水平升高。开始使用更昔洛韦治疗后，巨细胞病毒胃炎愈合，电解质异常在2周内得到解决。我们认为巨细胞病毒性肾上腺炎在可逆阶段得到了治疗。本文回顾了关于巨细胞病毒性肾上腺炎的文献以支持这一结论。
