학술논문

A case of cytomegalovirus esophagitis difficult to distinguish from Crohn’s disease exacerbation
Document Type
Original Paper
Source
Clinical Journal of Gastroenterology. 17(4):593-597
Subject
Inflammatory bowel disease
Viral esophagitis
Antiviral therapy
Immunosuppressive therapy
Language
English
ISSN
1865-7257
1865-7265
Abstract
Patients with Crohn’s disease are at higher risk of opportunistic infection, especially if treated with immunosuppressive therapy. Cytomegalovirus has been reported to cause ulcerated lesions mainly in the lower gastrointestinal tract of inflammatory bowel disease patients. We herein report a rare case of Crohn’s disease complicated with cytomegalovirus esophagitis, which was difficult to distinguish from exacerbation of Crohn’s disease. Diagnostic values of clinical course, blood tests, endoscopic and histological examinations are limited but the present case was therapeutically diagnosed by antiviral therapy in combination with histological evidence of cytomegalovirus.