A case of steroid-refractory ulcerative colitis complicated with cytomegalovirus pneumonia.

A case of steroid-refractory ulcerative colitis complicated with cytomegalovirus pneumonia. Research Abstract Details 

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A case of steroid-refractory ulcerative colitis complicated with cytomegalovirus pneumonia. Abstract Text:

Shuzo Sato,Hiroko Kobayashi,Rie Saito,Tomomi Sasajima,Hiroshi Orikasa,Hiroshi Watanabe,Hiromasa Ohira,Kazuhiro Tasaki,Masafumi Abe,

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.

A case of steroid-refractory ulcerative colitis complicated with cytomegalovirus pneumonia. Publishing Authors By Initials

S Sato,H Kobayashi,R Saito,T Sasajima,H Orikasa,H Watanabe,H Ohira,K Tasaki,M Abe,

For similar polycyclic compounds: steroids research abstracts see: polycyclic compounds: steroids research

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A case of steroid-refractory ulcerative colitis complicated with cytomegalovirus pneumonia. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Fukushima journal of medical science

VOLUME: 53

Page Numbers: 27-32

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ISSN: 0016-2590

DAY: 21

MONTH: Jun

YEAR: 2007

A case of steroid-refractory ulcerative colitis complicated with cytomegalovirus pneumonia. Information

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LANGUAGE: eng

NlmUniqueID: 374626

A case of steroid-refractory ulcerative colitis complicated with cytomegalovirus pneumonia. Keywords Mesh Terms:

KEYWORDS: Steroids

MESH TERMS: adverse effects

Chemical & Substance for Abstract: A case of steroid-refractory ulcerative colitis complicated with cytomegalovirus pneumonia. Information

Substance Name: Steroids

Registry Number: 0

Grant and Affiliation Information for A case of steroid-refractory ulcerative colitis complicated with cytomegalovirus pneumonia.

AFFILIATION: Department of Internal Medicine II, Fukushima Medical University School of Medicine, Fukushima, 960-1295, Japan. shuzo@fmu.ac.jp

Country: Japan

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MEDLINETA: Fukushima J Med Sci

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