Severe ischemic cytomegalovirus proctocolitis with multiple perforation
Cytomegalovirus (CMV) typically causes gastrointestinal infections in immunocompetent patients. Colonic perforations secondary to CMV are exceeding rare. We describe a 88-year-old male presenting with a week-long history of intractable abdominal discomfort, bloating, nausea and diarrhea. Flexible si...
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| Published in | Archives of virology Vol. 163; no. 7; pp. 1927 - 1931 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Vienna
Springer Vienna
01.07.2018
Springer Nature B.V |
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| Abstract | Cytomegalovirus (CMV) typically causes gastrointestinal infections in immunocompetent patients. Colonic perforations secondary to CMV are exceeding rare. We describe a 88-year-old male presenting with a week-long history of intractable abdominal discomfort, bloating, nausea and diarrhea. Flexible sigmoidoscopy revealed significant ulceration with yellowish slough. Emergency surgery was performed subsequently in view of multiple perforations in the rectosigmoid junction. CMV gastrointestinal infections demonstrated an ischemic process secondary to vasculitis, which accelerated the pathway to colonic perforation. CMV gastrointestinal infection should be considered as a differential diagnosis in patients with colonoscopy findings similar to ischemic colitis and
Clostridium difficile
infections. |
|---|---|
| AbstractList | Cytomegalovirus (CMV) typically causes gastrointestinal infections in immunocompetent patients. Colonic perforations secondary to CMV are exceeding rare. We describe a 88-year-old male presenting with a week-long history of intractable abdominal discomfort, bloating, nausea and diarrhea. Flexible sigmoidoscopy revealed significant ulceration with yellowish slough. Emergency surgery was performed subsequently in view of multiple perforations in the rectosigmoid junction. CMV gastrointestinal infections demonstrated an ischemic process secondary to vasculitis, which accelerated the pathway to colonic perforation. CMV gastrointestinal infection should be considered as a differential diagnosis in patients with colonoscopy findings similar to ischemic colitis and
Clostridium difficile
infections. Cytomegalovirus (CMV) typically causes gastrointestinal infections in immunocompetent patients. Colonic perforations secondary to CMV are exceeding rare. We describe a 88-year-old male presenting with a week-long history of intractable abdominal discomfort, bloating, nausea and diarrhea. Flexible sigmoidoscopy revealed significant ulceration with yellowish slough. Emergency surgery was performed subsequently in view of multiple perforations in the rectosigmoid junction. CMV gastrointestinal infections demonstrated an ischemic process secondary to vasculitis, which accelerated the pathway to colonic perforation. CMV gastrointestinal infection should be considered as a differential diagnosis in patients with colonoscopy findings similar to ischemic colitis and Clostridium difficile infections. |
| Author | Lau, Cheryl Chien-Li Thamboo, Thomas Paulraj D’cruz, Reuban Toby |
| Author_xml | – sequence: 1 givenname: Reuban Toby orcidid: 0000-0001-9022-0493 surname: D’cruz fullname: D’cruz, Reuban Toby email: reuban.dcruz@gmail.com organization: Department of Surgery, Ng Teng Fong General Hospital – sequence: 2 givenname: Cheryl Chien-Li surname: Lau fullname: Lau, Cheryl Chien-Li organization: Department of Surgery, Ng Teng Fong General Hospital – sequence: 3 givenname: Thomas Paulraj surname: Thamboo fullname: Thamboo, Thomas Paulraj organization: Department of Pathology, National University Health System |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29532267$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1002_eji_202249940 crossref_primary_10_7326_aimcc_2023_0071 crossref_primary_10_3390_v16030346 crossref_primary_10_3390_microorganisms8071078 crossref_primary_10_1002_acr_24879 crossref_primary_10_7759_cureus_36926 |
| Cites_doi | 10.1007/s10620-005-2544-6 10.1016/j.ijscr.2016.03.021 10.1093/ndtplus/sfp015 10.1002/rmv.655 10.4103/2230-8210.94253 10.3748/wjg.v21.i12.3750 10.1007/s10096-014-2212-x 10.1016/j.gie.2011.07.025 10.1136/jcp.53.8.612 10.1016/j.ijscr.2015.08.040 10.3748/wjg.v22.i3.1321 10.1097/00007890-199606150-00018 10.1016/j.jmii.2015.12.007 10.1186/cc7875 10.1016/S0140-6736(00)02350-3 10.1142/S0192415X0600359X 10.1016/j.it.2009.04.003 10.5946/ce.2012.45.3.254 10.1136/bcr.11.2011.5254 10.1136/bcr-2016-217221 |
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| Snippet | Cytomegalovirus (CMV) typically causes gastrointestinal infections in immunocompetent patients. Colonic perforations secondary to CMV are exceeding rare. We... |
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| StartPage | 1927 |
| SubjectTerms | Biomedical and Life Sciences Biomedicine Brief Report Colitis Colon Cytomegalovirus Diarrhea Differential diagnosis Infections Infectious Diseases Ischemia Medical Microbiology Nausea Sigmoidoscopy Surgery Vasculitis Virology |
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| Title | Severe ischemic cytomegalovirus proctocolitis with multiple perforation |
| URI | https://link.springer.com/article/10.1007/s00705-018-3792-z https://www.ncbi.nlm.nih.gov/pubmed/29532267 https://www.proquest.com/docview/2015562855 https://search.proquest.com/docview/2013515831 |
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