비장절제술 후 발생한 거대세포바이러스 대장염 1예 |
천상열ㆍ임윤정ㆍ김미영*ㆍ김정례†ㆍ이동현ㆍ마주락ㆍ이가영ㆍ김춘관ㆍ양수현ㆍ변종훈 |
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 |
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Abstract |
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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;26:158162) |
Key Words:
Cytomegalovirus (CMV) colitis, Splenectomy |
주요어:
거대세포바이러스 대장염, 비장절제술 |
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