정상 면역의 중환자에서 식도와 십이지장을 동시에 침범한 거대세포바이러스 위장관 감염 1예 |
이수연ㆍ김유선ㆍ이진호ㆍ박종혁ㆍ이상렬ㆍ류수형ㆍ이정환ㆍ문정섭 |
인제대학교 의과대학 서울백병원 내과학교실 |
A Case of Cytomegalovirus-Associated Esophageal and Duodenal Ulcers in a Critically Ill Immunocompetent Patient |
Su-Yeon Lee, M.D., You Sun Kim, M.D., Jin-Ho Lee, M.D., Jong Hyeok Park, M.D., Sang-Ryul Lee, M.D., Soo-Hyung Ryu, M.D., Jung Hwan Lee, M.D. and Jeong Seop Moon, M.D. |
Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea |
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Abstract |
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Cytomegalovirus (CMV) infection usually occurs in immunocompromised individuals such as patients who receive chemotherapy, glucocorticoid therapy, and patients infected with human immunodeficiency virus (HIV). CMV infection can also occur in immunocompetent adults, but active infection is apparently rare. CMV infection can present anywhere in the gastrointestinal tract, most commonly in the colon and rarely in the small intestine. Simultaneous CMV infection in the stomach, small bowel and colon of immunocompetent adults has rarely been reported. We report a case of cytomegalovirus-associated esophageal and duodenal ulcers in an immunocompetent adult where the patient had undergone a neurosurgical operation. (Korean J Gastrointest Endosc 2009;39:217-221) |
Key Words:
Cytomegalovirus, Esophagus, Duodenum, Immunocompetent adult |
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