A Case of Cytomegalovirus Colitis Associated with Acquired Immunodeficiency Syndrome

A 22-year-old homosexual male was admitted becuse of positive HIV. Colonoscopy was performed becouse of persistent diarrhea On the 39 days after. A punched-out ulcer was detected on ileocecal valve. Biopsy specimens showed inclusion bodies, furthermore it was positive by immunological stain for CMV...

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Published inProgress of Digestive Endoscopy(1972) Vol. 55; no. 2; pp. 55 - 57
Main Authors Kaneta, Shigeki, Shimizu, Shinsuke, Gotou, Mituhide, Shimizu, Naoki, Watanabe, Kouichi, Igawa, Morihito, Sudou, Ichiro, Sugiura, Hirokazu, Taguchi, Yumiko, Katumata, Shigehiro, Miyaoka, Masaaki, Saito, Toshihiko, Moriya, Kenji, Fukutake, Katuyuki
Format Journal Article
LanguageJapanese
Published Japan Gastroenterological Endoscopy Society Kanto Chapter 25.11.1999
Subjects
AIDS
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Abstract A 22-year-old homosexual male was admitted becuse of positive HIV. Colonoscopy was performed becouse of persistent diarrhea On the 39 days after. A punched-out ulcer was detected on ileocecal valve. Biopsy specimens showed inclusion bodies, furthermore it was positive by immunological stain for CMV antigen by immunological stain. CMV colitis was diagnosed and he was started Ganciclovir therapy. On the 84 days Follow-up colonoscopic examination showed ulcer scar on the ileocecal valve after 45 days treatment. It has been reported for CMV infection of gastrointestinal tract is commonly seen with AIDS. It is important to perform endoscopic examination for prompt diagnosis of CMV infection.
AbstractList A 22-year-old homosexual male was admitted becuse of positive HIV. Colonoscopy was performed becouse of persistent diarrhea On the 39 days after. A punched-out ulcer was detected on ileocecal valve. Biopsy specimens showed inclusion bodies, furthermore it was positive by immunological stain for CMV antigen by immunological stain. CMV colitis was diagnosed and he was started Ganciclovir therapy. On the 84 days Follow-up colonoscopic examination showed ulcer scar on the ileocecal valve after 45 days treatment. It has been reported for CMV infection of gastrointestinal tract is commonly seen with AIDS. It is important to perform endoscopic examination for prompt diagnosis of CMV infection.
Author Shimizu, Shinsuke
Kaneta, Shigeki
Sudou, Ichiro
Fukutake, Katuyuki
Saito, Toshihiko
Sugiura, Hirokazu
Shimizu, Naoki
Moriya, Kenji
Miyaoka, Masaaki
Watanabe, Kouichi
Katumata, Shigehiro
Igawa, Morihito
Taguchi, Yumiko
Gotou, Mituhide
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  fullname: Fukutake, Katuyuki
  organization: The Clinical pathology of Tokyo Medical College Hospital
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References 4) 猪狩　亨 : AIDS患者にみられる消化器病変．胃と腸　32 : 963-969，1997
3) 山田義也 : エイズの内視鏡検査．Gastroentelogical endoscopy 40 : 991-997，1998
1) 大川清孝，丸岡正典，池田昌弘，他 : STDによる腸炎の画像診断．胃と腸　32 : 941-948，1997
2) 柴田美香，浅香正博 : サイトメガロウイルス（CMV）と消化管病変．G I Research 87 : 431-436，1997
5) 小池盛雄，池野佐知子，猪狩　亨 : AIDSの消化管病変．Therapeutic Research 17 : 41-47，1996
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Title A Case of Cytomegalovirus Colitis Associated with Acquired Immunodeficiency Syndrome
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