Wang JJ, Liu CC, Fan Y, Xu ZJ, Zhang YS, Yang XB, Wang JS, Zhang ZY. Clinical features of opportunistic infections in ulcerative colitis patients.
Shijie Huaren Xiaohua Zazhi 2016;
24:631-637. [DOI:
10.11569/wcjd.v24.i4.631]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM: To explore the clinical features of opportunistic infections and the underlying risk factors of cytomegalovirus (CMV) infection in ulcerative colitis (UC) patients.
METHODS: We enrolled 87 ulcerative colitis patients treated at our hospital from March 2004 to April 2015. Data concerning clinical manifestations, endoscopic characteristics, pathological changes as well as laboratory findings were collected and analyzed. We further divided the patients into a CMV positive and a CMV negative group to explore the possible risk factors for CMV infection.
RESULTS: Among 87 patients, there were 12 CMV positive patients, 5 Clostridium difficile positive patients, three oral Candida positive patients, and two Pneumocystis carinii positive patients. Independent risk factors for CMV infection in UC patients included low leukocyte count, pan-colitis, and use of corticosteroids, non-steroidal anti-inflammatory drugs (NSAIDs) as well as antibiotics during recent 2 mo, while the use of proton pump inhibitors (PPIs) had no significant impact on CMV infection.
CONCLUSION: UC patients tend to develop opportunistic infections, such as CMV, Clostridium difficile, oral Candida and Pneumocystis carinii infections. Low leukocyte count, pan-colitis, use of corticosteroids, NSAIDs as well as antibiotics during recent 2 mo are risk factors for CMV infection in UC patients.
Collapse