Cytomegalovirus colitis presenting as massive lower gastrointestinal bleeding in an immunocompetent patient

Lee June, Ng Chin, Deyali Chatterjee

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Cytomegalovirus infection is ubiquitous but often remains asymptomatic in affected patients. Symptomatic cytomegalovirus infection usually occurs in immunocompromised patients- patients who are infected with the Human Immunodeficiency Virus, have received organ transplantations, or are on immunosuppressive therapies. Cytomegalovirus colitis can present with abdominal pain, diarrhea and significant per rectal blood loss. It is a rare entity in immunocompetent patients and can often be missed unless one has a high index of suspicion. We describe a case of CMV colitis in a 78-year-old patient with no known risk factors for immunosuppression who was admitted for respiratory diseases and then subsequently developed transfusion dependent lower gastrointestinal bleeding. She ultimately required surgical resection of her colon. A literature review on CMV colitis, its myriad manifestations and therapeutic outcomes was conducted, with particular emphasis on its occurrence in immunocompetent patients.

Original languageEnglish
Pages (from-to)28-31
Number of pages4
JournalIndian Journal of Surgery
Volume70
Issue number1
DOIs
StatePublished - Feb 2008
Externally publishedYes

Keywords

  • Cytomegalovirus colitis
  • Gastrointestinal bleeding
  • HIV
  • Immunocompetent patient

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