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- W2325535710 abstract "患者は61歳，男性。生来健康であったが，平成10年11月，黄疸を指摘され当院へ紹介入院。黄疸・肝機能障害を認めたが，肝炎ウイルス抗体はすべて陰性，抗HIV抗体も陰性であった。入院時胸焼けを伴うため，上部消化管内視鏡検査を施行し，十二指腸球部から下行脚に多発性の活動性潰瘍を認めた。生検組織培養，13C-尿素呼気試験にて，Helicobacter pylori（H．pylori）は陰性であった。2ヵ月間抗潰瘍剤を投与するも縮小せず，生検組織中の核内封入体は認めなかったが，サイトメガロウイルス（CMV）-IgM高値，肝生検組織のPCRにてCMV-DNAを認めたため，CMV感染に起因する十二指腸潰瘍と診断した。抗CMV剤投与により，自他覚所見の速やかな改善と潰瘍の治癒化を認めた。本症例はH．pylori陰性，抗潰瘍剤に抵抗性の十二指腸潰瘍の場合，その原因としてCMV感染も考慮する必要があることを示唆するものである。" @default.
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- W2325535710 date "1999-01-01" @default.
- W2325535710 modified "2023-10-16" @default.
- W2325535710 title "A case of duodenal ulcer cured by anti-CMV drug, Ganciclovir" @default.
- W2325535710 doi "https://doi.org/10.11641/pdensks.55.2_44" @default.
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