Korean Journal of Gastrointestinal Endoscopy 2008;37(5): 344-348.
보존적인 치료로 호전된 면역 기능이 정상인 성인에서 발생한 거대세포바이러스 위염 2예
이재훈ㆍ최석채ㆍ최창수ㆍ김태현
원광대학교 의과대학 내과학교실
Spontaneous Resolving of Cytomegalovirus Associated Gastritis after Conservative Treatment in Immunocompetent Patients: A Report of Two Cases
Jaehoon Lee, M.D., Suck Chei Choi, M.D., Chang Soo Choi, M.D. and Tae Hyeon Kim, M.D.
Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea
Abstract
Cytomegalovirus (CMV) disease is an important cause of morbidity and mortality in an immunocompromised host. Patients with AIDS, organ transplantion and chemotherapy for malignant disease are susceptible to CMV diseases. CMV disease rarely occurs in an immunocompetent host. The gastrointestinal tract is one of target organs for CMV infection. Immunocompetent patients with gastrointestinal CMV disease frequently recover with supportive therapy. If immunosuppressive therapy is stopped, patients infected with CMV can be spontaneously cured. However, as the prognosis of CMV infection in immunocompromised patients is usually poor, the administration of an antiviral agent is recommended for treatment. We report two cases of gastric CMV in immonocompetent patients who completely recovered with supportive treatment without antiviral therapy. (Korean J Gastrointest Endosc 2008;37:344-348)
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