Cytomegalovirus Enteritis Causing Ileal Perforation in an Elderly Immunocompetent Individual
نویسندگان
چکیده
Cytomegalovirus (CMV) infection is usually subclinical in immunocompetent individuals, however it can be life threatening in an elderly immunocompetent individual. We report a case of CMV enteritis causing ileal perforation in a physically active elderly man. An 88-year-old healthy man presented with abdominal pain and diarrhea. After initial conservative treatment, emergency laparotomy was performed for ileal perforation. The diagnosis of CMV enteritis was based on histological findings revealing many large cells with CMV inclusion bodies in the surgical specimen. In elderly individuals, even though they are immunocompetent, CMV enteritis may result in major complications such as bowel perforation, and it should be included in the differential diagnosis of diarrhea if it is resistant to conventional treatment.
منابع مشابه
Ileal Perforation in a Patient with Ulcerative Colitis after Proctocolectomy
Ulcerative colitis (UC) is a form of inflammatory bowel disease that typically involves the colorectum; it has been reported that a certain proportion of patients with UC also develop ileitis, leading to ileal perforation in very extreme cases. We report a 66-year-old male with UC who presented with ileal perforation eight days after proctocolectomy. Although this situation is very rare, differ...
متن کاملCMV Enteritis Causing Massive Intestinal Hemorrhage in an Elderly Patient
Background. Cytomegalovirus (CMV) disease is rare in previously immunocompetent patients. We report a case of CMV enteritis complicated by massive intestinal bleeding. Case History. A 72-year-old immunocompetent patient was admitted for diarrhea and abdominal pain. Aspecific pattern of duodenitis was found at abdomen computed tomography and on biopsies during endoscopy. A diagnosis of vasculiti...
متن کاملNontraumatic terminal ileal perforation
BACKGROUND There is still confusion and controversy over the diagnosis and optimal surgical treatment of non traumatic terminal ileal perforation-a cause of obscure peritonitis. METHODS This study was a prospective study aimed at evaluating the clinical profile, etiology and optimal surgical management of patients with nontraumatic terminal ileal perforation. RESULTS There were 79 cases of ...
متن کاملCytomegalovirus colitis in an immunocompetent elderly man
Cytomegalovirus colitis is uncommon in immunocompetent hosts. Thus, a case of bloody diarrhoea and weight loss in an immunocompetent elderly man is reported. Cytomegalovirus colitis was diagnosed by identifying inclusion bodies with positive immunohistochemistry for cytomegalovirus in the histological specimens obtained by colonoscopy. The patient responded to gancyclovir treatment. We conclude...
متن کاملCytomegalovirus and the Seemingly Immunocompetent Host: A Case of a Perforating Gastric Ulcer
Cytomegalovirus (CMV) infection of the gastrointestinal tract has a variety of presentations. We present a case of gastric perforation, which is a relatively infrequent presentation of CMV infection. If the cause of gastric perforation is not readily apparent, testing for CMV should be considered. If CMV workup is positive, an evaluation for immunocompromise is prudent as CMV infections are mor...
متن کامل