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CMV enteritis causing ileal perforation in underlying lupus enteritis

Authors
 Seungmin Bang  ;  Yong-Beom Park  ;  Soo-Kon Lee  ;  Ho Keun Kim  ;  Min Ho Hwang  ;  Min Chan Park  ;  Byung Seung Kang 
Citation
 CLINICAL RHEUMATOLOGY, Vol.23(1) : 69-72, 2004 
Journal Title
 CLINICAL RHEUMATOLOGY 
ISSN
 0770-3198 
Issue Date
2004
MeSH
Adult ; Anti-Inflammatory Agents/therapeutic use ; Antiviral Agents/therapeutic use ; Azathioprine/therapeutic use ; Cytomegalovirus/isolation & purification* ; Cytomegalovirus/pathogenicity ; Cytomegalovirus Infections/complications* ; Cytomegalovirus Infections/drug therapy ; Cytomegalovirus Infections/pathology ; Drug Therapy, Combination ; Enteritis/etiology* ; Enteritis/pathology ; Female ; Ganciclovir/therapeutic use ; Humans ; Ileal Diseases/etiology* ; Ileal Diseases/pathology ; Ileal Diseases/surgery ; Ileum/pathology ; Immunosuppressive Agents/therapeutic use ; Intestinal Perforation/etiology* ; Intestinal Perforation/pathology ; Intestinal Perforation/surgery ; Lupus Erythematosus, Systemic/complications* ; Lupus Erythematosus, Systemic/drug therapy ; Lupus Erythematosus, Systemic/pathology ; Prednisolone/therapeutic use ; Tomography, X-Ray Computed
Keywords
Cytomegalovirus ; Enteritis ; Lupus enteritis ; Systemic lupus erythematosus
Abstract
We report a case of cytomegalovirus (CMV) enteritis in a 31 year-old -woman with lupus enteritis. In August 2002 the patient complained of severe abdominal pain. An abdominopelvic CT scan at the time showed free air in the peritoneal cavity and wall thickening of the ileal loop. She was diagnosed as having panperitonitis due to an ileal perforation, and underwent an emergency laparotomy. The surgical specimen revealed CMV inclusion bodies in the infarcted lesion. Her symptoms improved following the initiation of ganciclovir therapy. To the best of our knowledge, this is the first report in the English literature of an ileal perforation due to CMV infection in a patient with lupus enteritis.
Full Text
http://link.springer.com/article/10.1007%2Fs10067-003-0825-z
DOI
10.1007/s10067-003-0825-z
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hogeun(김호근)
Park, Min Chan(박민찬) ORCID logo https://orcid.org/0000-0003-1189-7637
Park, Yong Beom(박용범)
Bang, Seungmin(방승민) ORCID logo https://orcid.org/0000-0001-5209-8351
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/111271
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