Toxic Megacolon Associated with Cytomegalovirus Infection in a Patient with Steroid-naive Ulcerative Colitis

被引：5

作者：

Inoue, Ken ^{[1
,2
]}

Wakabayashi, Naoki ^{[3
]}

Fukumoto, Kohei ^{[4
]}

Yamada, Shinya ^{[5
]}

Bito, Nobukatsu ^{[6
]}

Yoshida, Naohisa ^{[2
]}

Katada, Kazuhiro ^{[2
]}

Uchiyama, Kazuhiko ^{[2
]}

Ishikawa, Takeshi ^{[2
]}

Handa, Osamu ^{[2
]}

Takagi, Tomohisa ^{[2
]}

Konishi, Hideyuki ^{[2
]}

Yagi, Nobuaki ^{[2
]}

Kokura, Satoshi ^{[2
]}

Kishimoto, Mitsuo ^{[7
]}

Yanagisawa, Akio ^{[7
]}

Naito, Yuji ^{[2
]}

机构：

[1] Kyoto Prefectural Yosanoumi Hosp, Dept Gastroenterol & Hepatol, Kyoto, Japan

[2] Kyoto Prefectural Univ Med, Grad Sch Med Sci, Dept Mol Gastroenterol & Hepatol, Kyoto 602, Japan

[3] Otsu Municipal Hosp, Dept Gastroenterol & Hepatol, Otsu, Shiga, Japan

[4] Nara City Hosp, Ctr Digest & Liver Dis, Nara, Japan

[5] Maizuru Med Ctr, Dept Gastroenterol & Hepatol, Kyoto, Japan

[6] Uji Takeda Hosp, Dept Gastroenterol & Hepatol, Uji, Japan

[7] Kyoto Prefectural Univ Med, Grad Sch Med Sci, Dept Surg Pathol, Kyoto 602, Japan

来源：

INTERNAL MEDICINE | 2012年 / 51卷 / 19期

关键词：

toxic megacolon; cytomegalovirus; steroid-naive; ulcerative colitis; INFLAMMATORY-BOWEL-DISEASE; ONSET;

D O I：

10.2169/internalmedicine.51.8145

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Most cases of cytomegalovirus (CMV) colitis in patients with inflammatory bowel disease (IBD) occur in those treated with immunosuppressants and/or corticosteroids. We herein present the case of a 57-year-old man with toxic megacolon associated with CMV colitis in corticosteroid-naive ulcerative colitis (UC). To date, there have been only eight previous case reports of CMV colitis in steroid-naive UC. We discuss the need to consider CMV colitis when making a differential diagnosis of patients with refractory UC who are not receiving corticosteroid treatment.

引用

页码：2739 / 2743

页数：5

共 50 条

[1] Cytomegalovirus colitis complicating ulcerative colitis in the steroid-naive patient
Pfau, P
Kochman, ML
Furth, EE
Lichtenstein, GR
[J]. AMERICAN JOURNAL OF GASTROENTEROLOGY, 2001, 96 (03): : 895 - 899
[2] Toxic megacolon associated with cytomegalovirus infection in ulcerative colitis
Shimada, Y
Iiai, T
Okamoto, H
Suda, T
Hatakeyama, K
Honma, T
Ajioka, Y
[J]. JOURNAL OF GASTROENTEROLOGY, 2003, 38 (11) : 1107 - 1108
[3] Toxic megacolon associated with cytomegalovirus infection in ulcerative colitis
Yoshifumi Shimada
Tsuneo Iiai
Haruhiko Okamoto
Takeyasu Suda
Katsuyoshi Hatakeyama
Terasu Honma
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[J]. Journal of Gastroenterology, 2003, 38 : 1107 - 1108
[4] Treatment of steroid-naive ulcerative colitis
Bossa, Fabrizio
Colombo, Elisabetta
Andriulli, Angelo
Annese, Vito
[J]. EXPERT OPINION ON PHARMACOTHERAPY, 2009, 10 (09) : 1449 - 1460
[5] A CASE OF TOXIC MEGACOLON IN ULCERATIVE-COLITIS ASSOCIATED WITH CYTOMEGALOVIRUS-INFECTION
KOTANAGI, H
FUKUOKA, T
SHIBATA, Y
YOSHIOKA, T
AIZAWA, O
SAITO, Y
KOYAMA, K
OTAKA, M
CHIBA, M
SAITO, M
[J]. JOURNAL OF GASTROENTEROLOGY, 1994, 29 (04) : 501 - 505
[6] Cytomegalovirus Infection in Patients Who Required Colectomy for Toxic Megacolon or Severe Steroid-Refractory Ulcerative Colitis
J. Barahona-Garrido
B. Martínez-Benítez
E. Espinosa-Cárdenas
H. M. Sarti
J. I. Gutiérrez-Manjarrez
R. Aguirre-Gutiérrez
F. I. Tellez-Avila
E. Coss-Adame
I. García-Juárez
J. K. Yamamoto-Furusho
[J]. Digestive Diseases and Sciences, 2010, 55 : 867 - 868
[7] Cytomegalovirus Infection in Patients Who Required Colectomy for Toxic Megacolon or Severe Steroid-Refractory Ulcerative Colitis
Barahona-Garrido, J.
Martinez-Benitez, B.
Espinosa-Cardenas, E.
Sarti, H. M.
Gutierrez-Manjarrez, J. I.
Aguirre-Gutierrez, R.
Tellez-Avila, F. I.
Coss-Adame, E.
Garcia-Juarez, I.
Yamamoto-Furusho, J. K.
[J]. DIGESTIVE DISEASES AND SCIENCES, 2010, 55 (03) : 867 - 868
[8] Cytokine mRNA Expression in Steroid-Naive Patients with Ulcerative Colitis
Olsen, Trine
Florholmen, Jon
[J]. INFLAMMATORY BOWEL DISEASES, 2010, 16 (05) : 734 - 734
[9] BONE MINERAL DENSITY IS NOT REDUCED IN STEROID-NAIVE ULCERATIVE COLITIS PATIENTS
Tomasevic, B. Obradovic
Cobeljic, K.
Davidovic, A.
Tomasevic, R.
[J]. OSTEOPOROSIS INTERNATIONAL, 2009, 20 : 93 - 93
[10] TOXIC MEGACOLON IN ULCERATIVE COLITIS
ROTH, JLA
VALDESDAPENA, A
STEIN, GN
BOCKUS, HL
[J]. GASTROENTEROLOGY, 1959, 37 (03) : 239 - 255

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