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MR Vol.12 No.3 indexに戻る
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MODERN RHEUMATOLOGY
Vol.12 No.3 |
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Cytomegalovirus-induced small intestinal bleeding
complicated with cutaneous vasculitis: a case report |
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| Y. Ota1, H. Ohashi1, C. Otani1, Y. Dei1, S.
Kondo1, S. Baba2 |
(1)Department of Internal Medicine III, Hamamatsu
University School of Medicine, Handayama 1-20-1, Hamamatsu 431-3124,
Japan
(2)Department of Pathology II, Hamamatsu University School of Medicine, Hamamatsu,
Japan |
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| Abstract |
| Abstract A 17-year-old woman who was being
treated with prednisolone for cutaneous vasculitis developed recurrent
massive melena and abdominal pain. An emergency resection was performed
because of uncontrollable melena, revealing many small intestinal
ulcers with cytomegalic inclusion bodies, which were found by immunopathological
staining. However, the cytomegalovirus (CMV) antigenemia (CMV-Ag)
assay and the IgM antibody titer for CMV were negative on admission.
This case indicates that a high state of alertness for CMV infection
in immunocompromised patients with gastrointestinal bleeding is
required even if the CMV-Ag assay and IgM antibody are both negative. |
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| Key words |
Key words Cytomegalovirus (CMV) ・ Cytomegalovirus
antigenemia (CMV-Ag) assay ・ Immunocompromised host ・ Small intestinal
bleeding
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