ISOLATED CYTOMEGALOVIRUS ILEITIS DETECTED BY COLONOSCOPY

被引:21
作者
LEPINSKI, SM [1 ]
HAMILTON, JW [1 ]
机构
[1] UNIV WISCONSIN,DEPT MED,MADISON,WI 53706
关键词
D O I
10.1016/0016-5085(90)91112-J
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Cytomegalovirus infections in immunocompromised patients mimic graft-versus-host disease by causing abdominal pain, watery diarrhea, and protein-losing enteropathy. The cases of three bone marrow transplant patients with diarrheal illness and biopsy-proven graft-vs.-host disease are reported. Isolated cytomegalovirus enteritis was subsequently identified by endoscopic examination and biopsy of the terminal ileum. All three improved with the eventual institution of 9-(1,3-dihydroxy-2-propoxymethyl) guanine. Ileoscopy is important in addition to colonoscopy in bone marrow transplant patients with diarrhea if cytomegalovirus enteritis is to be identified and appropriately treated. © 1990.
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页码:1704 / 1706
页数:3
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