title: Cytomegalovirus-induced small-bowel hemorrhage in a patient with nonsystemic vasculitic neuropathy.
abstract: A 73-year-old man who was being treated with corticosteroids for nonsystemic vasculitic neuropathy developed small-bowel hemorrhage after ileostomy for ileus. Immunohistochemical staining for cytomegalovirus (CMV) antigen in the ulcer in the resected ileum was positive; thus, cytomegalovirus infection of the small intestine caused his gastrointestinal manifestations. Cytomegalovirus infection should be considered in the differential diagnosis of gastrointestinal diseases in patients with collagen vascular diseases receiving immunosuppressive agents.
authors.affiliation: Department of Medicine, Shiga University of Medical Science, Seta, Shiga, 520-2192, Japan. toshiro@belle.shiga-med.ac.jp
authors.forename: Toshiro
authors.initials: T
authors.lastname: Sugimoto
authors.forename: Mariko
authors.initials: M
authors.lastname: Soumura
authors.forename: Masayasu
authors.initials: M
authors.lastname: Kawasaki
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Kawai
authors.forename: Takashi
authors.initials: T
authors.lastname: Uzu
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Nishio
authors.forename: Tohru
authors.initials: T
authors.lastname: Tani
authors.forename: Atsunori
authors.initials: A
authors.lastname: Kashiwagi
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000368:Aged; D000956:Antigens, Viral / Q000032:analysis; D003586:Cytomegalovirus Infections / Q000150:complications* / Q000175:diagnosis*; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007081:Ileostomy; D045823:Ileus / Q000150:complications / Q000473:pathology / Q000601:surgery; D007150:Immunohistochemistry; D007421:Intestine, Small / Q000473:pathology*; D008297:Male; D008551:Melena / Q000209:etiology; D010523:Peripheral Nervous System Diseases / Q000150:complications* / Q000188:drug therapy; D014657:Vasculitis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology
chemical_list: D000305:Adrenal Cortex Hormones; D000956:Antigens, Viral