書誌事項
- タイトル別名
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- A Case of Cytomegalovirus Gastroduodenitis in an Immunocompetent Adult
- 症例 健常成人に認められたサイトメガロウイルス胃十二指腸炎の1例
- ショウレイ ケンジョウ セイジン ニ ミトメラレタ サイトメガロウイルス イ ジュウニシチョウエン ノ 1レイ
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抄録
A 58-year-old male developed epigastric discomfort and high fever in 2010. Complete blood count showed leukocytosis and a small number of atypical lymphocytes. Gastric endoscopy revealed multiple gastroduodenal erosions and ulcers. Biopsy specimens were obtained and pathological examination demonstrated cytomegalic inclusion bodies. Cytomegalovirus (CMV) IgM antibody was positive and CMV DNA was detected with PCR in his blood, leading to the diagnosis of CMV gastroduodenitis. He was treated with intravenous ganciclovir and his symptoms resolved rapidly. It is recognized that CMV gastroduodenitis is extremely rare in immunocompetent hosts but sometimes shows a severe clinical course in elderly patients. The results from our present patient suggest that we should consider CMV infection in the differential diagnosis of multiple gastroduodenal erosions and ulcers. Our data also suggested that anti-CMV medications could be important treatment options for CMV gastroduodenitis, especially in elderly patients.
収録刊行物
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- 感染症学雑誌
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感染症学雑誌 87 (1), 49-52, 2013
一般社団法人 日本感染症学会
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詳細情報 詳細情報について
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- CRID
- 1390282680027527552
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- NII論文ID
- 10031176219
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- NII書誌ID
- AN00047715
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- ISSN
- 1884569X
- 03875911
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- NDL書誌ID
- 024253113
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- PubMed
- 23484379
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可