双重麻烦：免疫功能低下宿主的利什曼病和巨细胞病毒结肠炎。

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-05-05 eCollection Date: 2025-05-01 DOI:10.14309/crj.0000000000001687

Saleh Alghaythi, Aymen Almuhaidb, Badr Al-Bawardy

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引用次数: 0

摘要

利什曼病在世界若干地区流行。它是一种慢性原生动物疾病，通过白蛉的叮咬传播。内脏利什曼病的异常定位极为罕见，见于免疫功能低下的患者。我们报告一个73岁的男性病例，生前无相关性肾移植后，主诉黑黑、疲劳和体重减轻。胃镜检查显示胃小弯处有一个大溃疡，活检显示严重溃疡并伴有真菌。结肠镜检查显示横结肠息肉，组织病理学检查显示巨细胞病毒结肠炎合并利什曼病。

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Double Trouble: Leishmaniasis and Cytomegalovirus Colitis in an Immunocompromised Host.

Leishmaniasis is endemic in several areas of the world. It is a chronic protozoan disease transmitted through the bite of the Phlebotomus fly. Unusual localizations of visceral leishmaniasis are extremely rare and are described in immunocompromised patients. We present a case of a 73-year-old man, postliving nonrelated kidney transplant who complained of melena, fatigue, and weight loss. Gastroscopy showed a large ulcer at the lesser curvature of the stomach, and biopsies demonstrated severe ulceration with superimposed fungal organisms. Colonoscopy showed a polyp in the transverse colon, and histopathological examination revealed cytomegalovirus colitis with superimposed leishmaniasis.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.