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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.53 (2007) >
Please use this identifier to cite or link to this item:
http://ir.fmu.ac.jp/dspace/handle/123456789/205
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| Title: | A case of steroid-refractory ulcerative colitis complicated with cytomegalovirus pneumonia |
| Other Titles: | UC complicated with CMV pneumonia |
| Authors: | Sato, Shuzo
Kobayashi, Hiroko
Saito, Rie
Sasajima, Tomomi
Orikasa, Hiroshi
Watanabe, Hiroshi
Ohira, Hiromasa
Tasaki, Kazuhiro
Abe, Masafumi |
| Affiliation: | 内科学第二講座
病理学第一講座 |
| Source title: | Fukushima Journal of Medical Science |
| Volume: | 53 |
| Issue: | 1 |
| Start page: | 27 |
| End page: | 32 |
| Issue Date: | Jun-2007 |
| Abstract: | We present a case of late-onset ulcerative colitis (UC) complicated with cytomegalovirus (CMV) pneumonia revealed by autopsy. A 77-year-old woman had a diagnosis of UC, and received high-dose steroids and leukocytapheresis. Then she received ganciclovir because CMV-pp65 antigenemia test revealed positive which suggested systemic or colonic CMV infection. But ganciclovir was discontinued because of thrombocytopenia and liver dysfunction. After that she had interstitial pneumonia and died of a respiratory failure. Autopsy revealed CMV colitis based on UC, and CMV pneumonia with diffuse alveolar damage. Evaluation of CMV infection in patients with steroid-refractory UC should be considered before proceeding with immunosuppressive therapy or surgery, especially in elderly patients. |
| Publisher: | The Fukushima Society of Medical Science |
| Publisher (Alternative foam): | 福島医学会 |
| language: | eng |
| URI: | http://ir.fmu.ac.jp/dspace/handle/123456789/205 |
| Full text URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/205/1/FksmJMedSci_53_p27.pdf |
| ISSN: | 0016-2590 |
| PubMed ID: | 17957963 |
| Rights: | © 2007 The Fukushima Society of Medical Science |
| Appears in Collections: | Vol.53 (2007)
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