肝肠联合移植受体巨细胞病毒感染临床病例报告

Cytomegalovirus Infection: A Clinical Case Report

目的探讨肝肠联合移植术后受体巨细胞病毒(CMV)感染后的临床表现与检测方法。方法回顾性分析全国首例肝小肠整块联合移植CMV感染前后的临床资料。结果联合移植术后,受体发生疲乏,关节酸痛等临床症状;有白细胞、血小板降低,淋巴细胞增高现象;同时检测出CMV-IgG(+)、CMV-PCR(+),证明受体存在CMV感染。结论需要结合临床与实验室检测技术才能有效早期诊断出CMV的感染。

OBJECTIVE To investigate the clinical symptoms and the test ways of cytomegalovirus （CMV） infection. METHODS The clinical data of a liver-intestine transplant recipient with CMV infection was retrospectively analyzed. RESULTS After transplantation, the recipient showed tied and arthrosis ache,WBC and PLT decreased,lymphocytes increased, at the same time the test of CMV-IgG and CMV-PCR was positive. The recipient infected with CMV. CONCLUSIONS Combined clinical symptoms with tests can diagnose the CMV infection early and effectively.