Case of cytomegalovirus colitis in an immunocompetent patient: a rare cause of abdominal pain and diarrhea in the elderly

Figures & data

Figure 1 Endoscopic findings.

Notes: (A) Mucosal erosion and ulceration in rectum. (B) The lesion got little improvement after 10-day course of metronidazole. (C) The lesion showed complete recovery of the ulceration.

Figure 2 Histopathological findings. (A) Hematoxylin-eosin stained, 100×. (B) Immunohistochemistry for cytomegalovirus, 200×.

Table 1 Case reports on cytomegalovirus colitis in immunocompetent hosts

Age	Sex	Comorbidity	Initial presentation	Treatment	Reference
75	F	Achalasia, gallstone	Fever, watery diarrhea	Gancyclovir	^Citation1
61	F	None	Abdominal pain, fever	Supportive	^Citation2
29	M	Unknown	Altered mental status	Ganciclovir	^Citation2
56	M	CRF, DM	Abdominal pain, watery diarrhea	Gancyclovir	^Citation3
33	M	None	Fever, bloody stool	Supportive	^Citation4
78	F	None	Abdominal pain, bloody stool	Colectomy	^Citation5
76	F	DM, HTN	Abdominal pain, watery diarrhea	Gancyclovir	^Citation6
64	M	Cerebral infarction	Nausea, diarrhea	Gancyclovir	^Citation7
82	M	None	Epigastric pain, diarrhea	Gancyclovir	^Citation8
60	F	None	Fever, abdominal pain, bloody stool	Enterectomy	^Citation9
85	M	Pneumonia	Abdominal pain, diarrhea	Colectomy	^Citation10
76	M	Parkinson’s disease, peptic ulcer	Diarrhea	Gancyclovir	^Citation10

Abbreviations: CRF, chronic renal failure; DM, diabetes mellitus; HTN, hypertension.

SeminariEFrontiEContardiGColitis in an elderly immunocompetent patientJ Clin Virol201255318719022784437

 PubMed Web of Science ®Google Scholar

MominNTelisinghePUChongVHCytomegalovirus colitis in immunocompetent patientsSingapore Med J2011529170172

 Web of Science ®Google Scholar

KimSHKimYSKimHWA case of cytomegalovirus colitis in an immunocompetent. Hemodialysis patientHemodial Int201115229730021226839

 PubMed Web of Science ®Google Scholar

RasmussenEGrønbaekKLinnemannDCytomegalovirus colitis in immunocompetent young maleUgeskr Laeger2009171151298 Danish

 Google Scholar

JuneLChinNChatterjeeDCytomegalovirus colitis presenting as massive lower gastrointestinal bleeding in an immunocompetent patientIndian J Surg2008701283123133012

 PubMed Web of Science ®Google Scholar

CarterDOlchovskyDPokroyREzraDCytomegalovirus-associated colitis causing diarrhea in an immunocompetent patientWorld J Gastroenterol200612426898689917106945

 PubMed Web of Science ®Google Scholar

LockwoodMRLiddleJKitsantaPCytomegalovirus colitis – an unusual cause for diarrhoea in an elderly womanAge Ageing200635219820016421182

 PubMed Web of Science ®Google Scholar

SiegalDSHamidNCunhaBACytomegalovirus colitis mimicking ischemic colitis in an immunocompetent hostHeart Lung200534429129416027652

 PubMed Web of Science ®Google Scholar

PetrogiannopoulosCLKalogeropoulosSGDandakisDCCytomegalovirus enteritis in an immunocompetent hostChemotherapy200450627627815608442

 PubMed Web of Science ®Google Scholar

KlauberEBriskiLEKhatibRCytomegalovirus colitis in the immunocompetent host: an overviewScand J Infect Dis199830655956410225382

 PubMedGoogle Scholar