| Theme | Differential diagnosis for common enterocolitis, especially in endoscopic findings | |
|---|---|---|
| Title | Cytomegalovirus enteritis | |
| Publish Date | 2014/07 | |
| Author | Kiyotaka Okawa | Department of Gastroenterology, Osaka City Juso Hospital |
| Author | Tetsuya Aoki | Department of Gastroenterology, Osaka City Juso Hospital |
| Author | Wataru Ueda | Department of Gastroenterology, Osaka City Juso Hospital |
| Author | Hiroko Ohba | Department of Gastroenterology, Osaka City Juso Hospital |
| Author | Masato Miyano | Department of Gastroenterology, Osaka City Juso Hospital |
| Author | Seiko Yamaguchi | Department of Gastroenterology, Osaka City Juso Hospital |
| Author | Osamu Kurai | Department of Gastroenterology, Osaka City Juso Hospital |
| Author | Takehisa Suekane | Department of Gastroenterology, Osaka City General Hospital |
| Author | Koji Sano | Department of Gastroenterology, Osaka City General Hospital |
| [ Summary ] | Patient characteristics, symptoms, definitive diagnosis, and endoscopic diagnosis of cytomegalovirus （CMV） enteritis are outlined. Measurement of CMV antigenemia, detection of the organization of nucleus inclusion bodies, detection of the organization of CMV antigens through immunity histochemistry, and measurement of CMV-DNA in blood and mucosa, which are useful for diagnosis. Distinctive endoscopic findings of CMV enteritis are punched-out ulcers, annular-like ulcers, belt-shaped ulcers and longitudinal ulcers. It is most important, for correct diagnosis, that we detect CMV enteritis by observing patient characteristics and endoscopic findings. | |