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CMV enteritis causing ileal perforation in underlying lupus enteritis

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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.

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Abbreviations

CMV:

Cytomegalovirus

SLE:

Systemic lupus erythematosus

References

  1. Drew WL (1992) Cytomegalovirus infection inpatients with AIDS. Clin Infect Dis 14:608–615

    CAS  PubMed  Google Scholar 

  2. Krech U (1973) Complement-fixing antibodies against cytomegalovirus in different parts of the world. Bull World Health Org 49:103–106

    CAS  PubMed  Google Scholar 

  3. Lee DH, Kim JW, Shin DH et al. A case of cytomegalovirus pneumonitis in a patient with systemic lupus erythematosus. Korea J Med 56:103–107

    Google Scholar 

  4. Cohen JI, Corey GR (1985) Cytomegalovirus infection in normal host. Medicine 64:100–114

    CAS  PubMed  Google Scholar 

  5. Goodgame RW (1993) Gastrointestinal cytomegalovirus disease. Ann Intern Med 119:924–935

    CAS  PubMed  Google Scholar 

  6. Meyers JD, Flourney N, Thomas D (1986) Risk factors for cytomegalovirus infection after human marrow transplantation. J Infect Dis 153:478–488

    CAS  PubMed  Google Scholar 

  7. Peterson PK, Balfour HH, Marker SC, Fryd DS, Howard RJ, Simmons RL (1980) Cytomegalovirus disease in renal allograft recipients: a prospective study of clinical features, risk factors and impact on renal transplantation. Medicine 59:280–300

    Google Scholar 

  8. Zaia JA, Forman SJ (1995) Cytomegalovirus infection in the bone marrow transplant recipient. Infect Dis Clin North Am 9:879–901

    CAS  PubMed  Google Scholar 

  9. Mayoral JL, Loeffler CM, Fasola CG et al. (1991) Diagnosis and treatment of cytomegalovirus disease in transplant patients based on gastrointestinal tract manifestations. Arch Surg 126:202–206

    CAS  PubMed  Google Scholar 

  10. Vasquez V, Barzaga RA, Cunha BA (1992) Cytomegalovirus-induced flare of systemic lupus erythematosus. Heart Lung 21:407–408

    CAS  PubMed  Google Scholar 

  11. Hayashi T, Lee S, Ogasawara H et al. (1998) Exacerbation of systemic lupus erythematosus related cytomegalovirus infection. Lupus 7:561–564

    Article  CAS  PubMed  Google Scholar 

  12. Sekigawa I, Nawata M, Seta N, Yamada M, Iida N, Hashimoto H (2002) Cytomegalovirus infection in patients with systemic lupus erythematosus. Clin Exp Rheumatol 20:559–564

    CAS  PubMed  Google Scholar 

  13. Golden MP, Hammer SM, Wanke C (1994) Cytomegalovirus vasculitis. Medicine 73:246–255

    CAS  PubMed  Google Scholar 

  14. Jacobson MA, Mills J (1988) Serious cytomegalovirus disease in the acquired immunodeficiency syndrome: clinical findings, diagnosis and treatment. Ann Intern Med 108:585–594

    CAS  PubMed  Google Scholar 

  15. Blanshard C, Benahmou Y, Dohin E, Lernested JO, Gazzard BG, Katlama C (1995) Treatment of AIDS associated gastrointestinal cytomegalovirus infection with foscarnet and ganciclovir: a randomized comparison. J Infect Dis 172:622–628

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Rheumatology, Department of Internal Medicine, Institute for Immunology and Immunological Disease, BK 21 Project for Medical Science , Yonsei University College of Medicine, Shinchon-dong 134, Seodaemoon-gu, 120–752, Seoul, Korea

    Seungmin Bang, Yong-Beom Park, Byung Seung Kang, Min Chan Park, Min Ho Hwang & Soo-Kon Lee

  2. Department of Pathology, Institute for Immunology and Immunological Disease, BK 21 Project for Medical Science , Yonsei University College of Medicine, Shinchon-dong 134, Seodaemoon-gu, 120–752, Seoul, Korea

    Ho Keun Kim

Authors
  1. Seungmin Bang
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  2. Yong-Beom Park
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  3. Byung Seung Kang
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  4. Min Chan Park
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  5. Min Ho Hwang
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  6. Ho Keun Kim
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  7. Soo-Kon Lee
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Correspondence to Soo-Kon Lee.

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Bang, S., Park, YB., Kang, B.S. et al. CMV enteritis causing ileal perforation in underlying lupus enteritis. Clin Rheumatol 23, 69–72 (2004). https://doi.org/10.1007/s10067-003-0825-z

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  • DOI: https://doi.org/10.1007/s10067-003-0825-z

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