一例巨细胞病毒食管炎与克罗恩病加重难以区分。

IF 0.8 Q4 GASTROENTEROLOGY & HEPATOLOGY

Clinical Journal of Gastroenterology Pub Date : 2024-08-01 Epub Date: 2024-05-23 DOI:10.1007/s12328-024-01978-z

Mika Misaki, Shintaro Sagami, Yoko Yamana, Masa Maeda, Aya Hojo, Yusuke Miyatani, Ichiro Maeda, Masaru Nakano, Toshifumi Hibi, Taku Kobayashi

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引用次数: 0

摘要

克罗恩病患者发生机会性感染的风险较高，尤其是在接受免疫抑制治疗的情况下。据报道，巨细胞病毒主要在炎症性肠病患者的下消化道引起溃疡性病变。我们在此报告了一例罕见的克罗恩病并发巨细胞病毒食管炎的病例，该病例与克罗恩病加重难以区分。临床病程、血液化验、内窥镜和组织学检查的诊断价值有限，但本病例通过抗病毒治疗结合巨细胞病毒的组织学证据得到了治疗诊断。

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A case of cytomegalovirus esophagitis difficult to distinguish from Crohn's disease exacerbation.

Patients with Crohn's disease are at higher risk of opportunistic infection, especially if treated with immunosuppressive therapy. Cytomegalovirus has been reported to cause ulcerated lesions mainly in the lower gastrointestinal tract of inflammatory bowel disease patients. We herein report a rare case of Crohn's disease complicated with cytomegalovirus esophagitis, which was difficult to distinguish from exacerbation of Crohn's disease. Diagnostic values of clinical course, blood tests, endoscopic and histological examinations are limited but the present case was therapeutically diagnosed by antiviral therapy in combination with histological evidence of cytomegalovirus.

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来源期刊

Clinical Journal of Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

2.00

自引率

0.00%

发文量

182

期刊介绍： The journal publishes Case Reports and Clinical Reviews on all aspects of the digestive tract, liver, biliary tract, and pancreas. Critical Case Reports that show originality or have educational implications for diagnosis and treatment are especially encouraged for submission. Personal reviews of clinical gastroenterology are also welcomed. The journal aims for quick publication of such critical Case Reports and Clinical Reviews.