Yeungnam Univ J Med.  2017 Jun;34(1):75-79. 10.12701/yujm.2017.34.1.75.

Conservative treatment of cytomegalovirus colitis with bowel perforation in an immunocompetent patient: case report and review of literature

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Maryknoll Medical Center, Busan, Korea. drhwpark@naver.com

Abstract

Cytomegalovirus (CMV) colitis, which is rare in an immunocompetent patient, was encountered in a 67-year-old man who was admitted due to persistent diarrhea. The first diagnostic tool was colonoscopy, which showed multiple ulcers from cecum to rectum. The secondary tool was CMV polymerase chain reaction, and CMV colitis was diagnosed. Intravenous ganciclovir therapy was administered, which resulted in improvement of diarrhea and ulcers throughout the colon were healed. Asymptomatic colon perforation was detected during diagnostic testing, which improved over the conventional treatment. CMV colitis is rare in immunocompetent patients, but it is essential for the differential diagnosis.

Keyword

Cytomegalovirus; Colitis; Immunocompetence; Perforation

MeSH Terms

Aged
Cecum
Colitis*
Colon
Colonoscopy
Cytomegalovirus*
Diagnosis, Differential
Diagnostic Tests, Routine
Diarrhea
Ganciclovir
Humans
Immunocompetence
Polymerase Chain Reaction
Rectum
Ulcer
Ganciclovir
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