Fulminant gastrointestinal graft-versus-host disease concomitant with cytomegalovirus infection:Case report and literature review

作     者：Hidetaka Okubo Naoyoshi Nagata Naomi Uemura 

作者机构：Department of Gastroenterology and HepatologyNational Center for Global Health and MedicineTokyo 162-8655Japan Department of Gastroenterology and HepatologyKohnodai HospitalIchikawa 272-0827ChibaJapan 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2013年第19卷第4期

页      面：597-603页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Supported by Grant from the National Center for Global Health and Medicine 

主　　题：Acute gastrointestinal graft-versus-host disease Allogenic stem-cell transplantation Cytomegalovirus gastrointestinal disease Cytomegaloviruspolymerase chain reaction Endoscopy 

摘      要：Here,we report a case of fulminant gastrointestinal graft-versus-host disease(GI-GVHD) with cytomegalovirus(CMV) infection in 44-year-old *** the difficulties associated with the treatment of GIGVHD and GI-CMV disease,the mucosal findings and the clinical course showed marked improvements during long-term clinical *** endoscopic findings were remarkable,with diffuse sloughing mucosa in the stomach and highly active inflammation and deep discrete ulcers throughout the *** in the CMV quantitative polymerase chain reaction results were correlated with the endoscopic mucosal findings and were useful for assessing the efficacy of the *** a definite diagnosis of GI-GVHD is generally made by endoscopy with biopsy,the gross appearance of this disease can vary depending on the *** this paper,we also conduct a literature review of patients with GI-GVHD.