DSpace Fukushima Medical University

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

Files in This Item:

File Description SizeFormat
FksmJMedSci_53_p27.pdf1.01 MBAdobe PDFDownload
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)

Files in This Item:

File Description SizeFormat
FksmJMedSci_53_p27.pdf1.01 MBAdobe PDFDownload

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

 

DSpace Software Copyright © 2002-2007 MIT and Hewlett-Packard