Toxic Megacolon Associated with Cytomegalovirus Infection in a Patient with Steroid-naïve Ulcerative Colitis
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- Inoue Ken
- Department of Gastroenterology and Hepatology, Kyoto Prefectural Yosanoumi Hospital, Japan Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan
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- Wakabayashi Naoki
- Department of Gastroenterology and Hepatology, Otsu Municipal Hospital, Japan
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- Fukumoto Kohei
- Center for Digestive and Liver Disease, Nara City Hospital, Japan
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- Yamada Shinya
- Department of Gastroenterology and Hepatology, Maizuru Medical Center, Japan
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- Bito Nobukatsu
- Department of Gastroenterology and Hepatology, Uji Takeda Hospital, Japan
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- Yoshida Naohisa
- Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan
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- Katada Kazuhiro
- Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan
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- Uchiyama Kazuhiko
- Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan
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- Ishikawa Takeshi
- Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan
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- Handa Osamu
- Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan
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- Takagi Tomohisa
- Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan
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- Konishi Hideyuki
- Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan
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- Yagi Nobuaki
- Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan
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- Kokura Satoshi
- Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan
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- Kishimoto Mitsuo
- Department of Surgical Pathology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan
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- Yanagisawa Akio
- Department of Surgical Pathology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan
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- Naito Yuji
- Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan
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抄録
Most cases of cytomegalovirus (CMV) colitis in patients with inflammatory bowel disease (IBD) occur in those treated with immunosuppressants and/or corticosteroids. We herein present the case of a 57-year-old man with toxic megacolon associated with CMV colitis in corticosteroid-naïve ulcerative colitis (UC). To date, there have been only eight previous case reports of CMV colitis in steroid-naïve UC. We discuss the need to consider CMV colitis when making a differential diagnosis of patients with refractory UC who are not receiving corticosteroid treatment.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 51 (19), 2739-2743, 2012
一般社団法人 日本内科学会