Cytomegalovirus-induced small-bowel hemorrhage in a patient with nonsystemic vasculitic neuropathy.
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.
Sugimoto
Toshiro
T
Department of Medicine, Shiga University of Medical Science, Seta, Shiga, 520-2192, Japan. toshiro@belle.shiga-med.ac.jp
Soumura
Mariko
M
Kawasaki
Masayasu
M
Kawai
Hiromichi
H
Uzu
Takashi
T
Nishio
Yoshihiko
Y
Tani
Tohru
T
Kashiwagi
Atsunori
A
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
D000305:Adrenal Cortex Hormones; D000956:Antigens, Viral