Korean J Gastrointest Endosc > Volume 26(3); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;26(3): 158-162.
비장절제술 후 발생한 거대세포바이러스 대장염 1예
천상열ㆍ임윤정ㆍ김미영*ㆍ김정례ㆍ이동현ㆍ마주락ㆍ이가영ㆍ김춘관ㆍ양수현ㆍ변종훈
서울보훈병원 내과학교실, *진단방사선학교실, 해부병리학교실
A Case of Cytomegalovirus (CMV) Colitis in a Patient after Splenectomy
Sang Yol Chon, M.D., Yun Jeong Lim, M.D., Mi Young Kim, M.D*., Jung Rye Kim, M.D., Dong Hyun Lee, M.D., Ju Rak Ma, M.D., Ga Young Lee, M.D., Choon Kwan Kim, M.D., Su Hyun Yang, M.D., and Jong Hun Byun, M.D.
Departments of Internal Medicine, *Diagnostic Radiology and Pathology, Seoul Veterans Hospital, Seoul, Korea
Abstract
Cytomegalovirus (CMV) is the most common cause of life-threatening opportunistic viral infection in patients with acquired immunodeficiency syndrome (AIDS). However, CMV infection may occur in the immunocompetent individuals. CMV colitis has not been reported in a patient with splenectomy in Korea. Recently, we experienced a case of fatal CMV colitis in a patient with splenectomy. A 69-year-old man complained of bloody mucoid diarrhea and abdominal pain for 2 months. He had the splenectomy 6 months ago. CMV colitis was diagnosed by colonoscopy and pathologic examination. He died of sepsis in spite of antiviral ganciclovir therapy. (Korean J Gastrointest Endosc 2003;26:158⁣162)
Key Words: Cytomegalovirus (CMV) colitis, Splenectomy
주요어: 거대세포바이러스 대장염, 비장절제술
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