Crohn's ileocolitis with initially superimposed cytomegalovirus infection, resembling intestinal tuberculosis

  • HIZAWA Kazuoki
    Department of Gastroenterology, Kyushu Central Hospital
  • NAKAMORI Mari
    Department of Pathology, Kyushu Central Hospital
  • EGASHIRA Issei
    Department of Gastroenterology, Kyushu Central Hospital
  • NAKAHARA Tsukane
    Department of Gastroenterology, Kyushu Central Hospital
  • MATSUMOTO Takayuki
    Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
  • IIDA Mitsuo
    Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University

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  • 腸結核との鑑別を要し初診時にサイトメガロウイルス感染を合併したCrohn病の1例

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Abstract

We describe a case of 41-year-old Japanese man with Crohn's ileocolitis and cytomegalovirus infection, confirmed by histology of ileal ulcers. Although his colonoscopic and radiological features resembled those of intestinal tuberculosis, granulomas of typical Crohn's disease were evident on histology of biopsy specimens taken from the duodenum and colon. The lesions remain unchanged even after 1.5 years by oral administration of salazosulphapyridine 3g daily.<br>

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