| A case of cytomegalovirus colitis in a patient with liver cirrhosis |
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Eun Kyung Baek, Kwon Yoo, Seong-Eun Kim, Su Jin Yoon, Jung Youn Jo, In Seon Kim, Min Sun Cho |
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| 간경변증 환자에서 발생한 거대세포바이러스 대장염 1예 |
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백은경, 유 권, 김성은, 윤수진, 조정연, 김인선, 조민선 |
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| Abstract |
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Most cases of cytomegalovirus (CMV) colitis are associated with an immunocompromised status, especially with human immunodeficiency virus (HIV) infections and transplantation. It rarely occurs in immunocompetent adults. We report a rare case of CMV colitis in a patient with HBV related liver cirrhosis. A 49 year-old patient presented with lower abdominal pain and bloody diarrhea. Sigmoidoscopic examination showed multiple shallow ulcerations and severe mucosal edema. Conservative treatment for the patient including antibiotics was not effective. Repeated sigmoidoscopic examination with re-biopsy showed intranuclear inclusion bodies suggestive of CMV infection. After administration of Ganciclovir, abdominal pain and bloody diarrhea improved. |
| Key Words:
Cytomegalovirus; Colitis; Liver cirrhosis |
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