Korean Journal of Gastrointestinal Endoscopy 1998;18(3): 392-397.
증례 : 식도 위장관 ; 동종 골수 이식술 후 발생한 십이지장의 거대세포 바이러스 감염증 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Cytomegalovirus Duodenitis Following an Allogenic Bone Marrow Transplantation )
안진희, 정훈용, 이제환, 김양수, 이규형, 김온자, 김우건, 김상희, 홍원선, 민영일 (Jin Hee Ahn, Hwoon Yong Jung, Je Hwan Lee, Yang Soo Kim, Kyoo Hyung Lee, On Ja Kim, Woo Kun Kim, Sang Hee Kim, Weon Seon Hong and Young Il Min)
Abstract
Cytomegalovirus(CMV) disease is one of the major causes of morbidity and mortality in immunocompromised patients, such as recipients of a solid organ or bone marrow allo-graft and patients with acquired immnune deficiency syndrome, CMV infection of the gastrointestinal tract may vary in location, extent, and clinical manifestation. As there is no pathognamonic endoscopic feature for CMV disease, a diagnosis of CMV infection has been made by confirming cytomegalic cells in mucosal specimens obtained from the gastrointestinal tract by an endoscopy. We repcet a case of a 38-year-old male patient with CMV duodenitis following an allogenic bone marrow transplantation(BMT), who had prolonged nausea and vomiting for 5 weeks after the BMT. He was diagnosed as having CMV duodenitis by identifying cytomegalic cells in duodenal mucosa biopsied by endoscopy and recovered after the treatment of ganciclovir. (Korean J Gastraintest Endosc 18: 392-396, 1998)
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