VARICELLA-ZOSTER GASTRITIS IN A BONE-MARROW TRANSPLANT RECIPIENT

被引:23
作者
MCCLUGGAGE, WG
FOX, JD
BAILLIE, KEM
COYLE, PV
JONES, FGC
OHARA, MD
机构
[1] ROYAL GRP HOSP, DEPT PATHOL, BELFAST, ANTRIM, NORTH IRELAND
[2] UCL, SCH MED, DEPT HAEMATOL, LONDON W1N 8AA, ENGLAND
[3] UCL, SCH MED, REG VIRUS LAB, LONDON W1N 8AA, ENGLAND
[4] UCL, SCH MED, DEPT MED MICROBIOL, LONDON W1N 8AA, ENGLAND
关键词
D O I
10.1136/jcp.47.11.1054
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
A case is reported of a patient who had previously undergone autologous bone marrow transplantation for recurrent Hodgkin's disease. The patient developed a generalised vesicular skin eruption. The clinical diagnosis was of disseminated shingles. Herpes viral particles were identified within the vesicular fluid by electron microscopy and using a specific monoclonal antibody to varicella tester virus (VZV), positive immunofluorescence was detected in scrapings from the base of a vesicle. Gastroscopy and biopsy were performed because of severe abdominal pain and vomiting. The histological features were of non-specific active inflammation. Despite the histological absence of viral inclusions electron microscopy of the gastric biopsy revealed the presence of intranuclear herpes viral particles with a diameter of 90-100 nm. VZV specific DNA was detected by the polymerase chain reaction in the gastric biopsy extract. The patient was treated with acyclovir and made a full recovery.
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收藏
页码:1054 / 1056
页数:3
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