Details

Autor(en) / Beteiligte

• Fleischer, Barbara
• Morgenthaler, Jochen
• Tippel, Günther
• Kuhfus, Andreas
• Gieseler, Ulf
• Stolte, Manfred

Titel

Cytomegalovirus-induced colitis in an immunocompetent old patient

Ist Teil von

• Medizinische Klinik (München. 1983), 2006-10, Vol.101 (10), p.835-835

Ort / Verlag

Germany

Erscheinungsjahr

2006

Quelle

MEDLINE

Beschreibungen/Notizen

• The cytomegalovirus (CMV) causes multiple diseases in patients with immunodeficiency. Also in patients with chronic inflammatory bowel disease, superinfections with CMV are known. Reactivation or infection is possible in rare cases in immunocompetent patients. CMV-induced colitis should be considered a differential diagnosis especially in patients suffering from diarrhea or bloody stools. The case of an 87-year-old patient with severe colitis is reported, who did not suffer from chronic inflammatory bowel disease nor from immunodeficiency. The most important hint came from the pathologist. The clinical outcome under antiviral therapy with ganciclovir was good. Even in immunocompetent patients, CMV-induced colitis should be taken into consideration, especially in elderly people.