Volume 26, Issue 116 (7-2018)                   J Adv Med Biomed Res 2018, 26(116): 138-143 | Back to browse issues page

XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Hormati A, Ghadir M R, Sarkeshikian S S, Jameshorani M, Alemi F. Report of a Middle Age Woman with Diarrhea, Ascites, and Edema: Cytomegalovirus (CMV) Colitis. J Adv Med Biomed Res 2018; 26 (116) :138-143
URL: http://journal.zums.ac.ir/article-1-5094-en.html
1- Gastroenterology and Hepatology Disease Research Center, Qom University of Medical Sciences, Qom, Iran
2- Metabolic Disease Research Center, Zanjan University Medical Sciences, Zanjan, Iran
Abstract:   (160589 Views)

Cytomegalovirus is a type of herpes viruses which can cause a primary infection or reactivate after a latent period. It can involve all organs including the gastrointestinal system. The most common presentation of GI involvement is colitis.
In this report, we describe a middle-aged woman presenting with diarrhea, ascites, and edema in both upper and lower extremities.  She had no history of immunodeficiency or use of immunomodulators. Colonoscopic and pathologic findings revealed CMV colitis leading to protein-losing enteropathy.
CMV colitis, though rare in immunocompetent patients, should be considered in the differential diagnosis of diarrhea and abdominal pain.

Full-Text [PDF 1593 kb]   (156844 Downloads)    
Type of Study: Clinical Trials |
Received: 2018/03/3 | Accepted: 2018/03/3 | Published: 2018/03/3

References
1. Harano Y, Kotajima L, Arioka H. Case of cytomegalovirus colitis in an immunocompetent patient: a rare cause of abdominal pain and diarrhea in the elderly. Int J Gen Med. 2015; 3; 8: 97-100. [DOI:10.2147/IJGM.S63771] [PMID] [PMCID]
2. Shah R, Vaidya G, Kalakonda A, Manocha D, Rawlins S. Cytomegalovirus colitis mimicking rectal carcinoma in a young immunocompetent patient. ACG Case Rep J. 2015; 10; 2: 165-7. [DOI:10.14309/crj.2015.42] [PMID] [PMCID]
3. Hasegawa T, Aomatsu K, Nakamura M, Aomatsu N, Aomatsu K. Cytomegalovirus colitis followed by ischemic colitis in a non-immunocompromised adult: a case report. World J Gastroenterol. 2015; 28; 21: 3750-4. [DOI:10.3748/wjg.v21.i12.3750] [PMID] [PMCID]
4. Paparoupa M, Schmidt V, Weckauf H, Ho H, Schuppert F. CMV colitis in immunocompetent patients: 2 cases of a diagnostic challenge. Case Rep Gastrointest Med. 2016; 2016: 4035637. [DOI:10.1155/2016/4035637] [PMID] [PMCID]
5. Lancini D, Faddy HM, Flower R, Hogan C. Cytomegalovirus disease in immunocompetent adults. Med J Aust. 2014; 17; 201: 578-80. [DOI:10.5694/mja14.00183] [PMID]
6. Goodman AL, Murray CD, Watkins J, Griffiths PD, Webster DP. CMV in the gut: a critical review of CMV detection in the immunocompetent host with colitis. Eur J Clin Microbiol Infect Dis. 2015; 34: 13-8. [DOI:10.1007/s10096-014-2212-x] [PMID] [PMCID]
7. Momin N, Telisinghe PU, Chong VH. Cytomegalovirus colitis in immunocompetent patients. Singapore Med J. 2011; 52: e170-2.
8. Fyock C, Gaitanis M, Gao J, Resnick M, Shah S. Gastrointestinal CMV in an elderly, immunocompetent patient. Rhode Island Med J. 2014; 2; 97: 53-6.
9. Imanzade F, Sayarri A, Tajik P.Cytomegalovirus (CMV) Colitis in an immunocompetent patient: a case report. Int J Pediatr(Supplement.1). 2015; 3: 85-88.
10. Soderberg-Naucler C. Human cytomegalovirus persists in its host and attacks and avoids elimination by the immune system. Crit Rev Immunol. 2006; 26: 231-64. [DOI:10.1615/CritRevImmunol.v26.i3.30]

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Journal of Advances in Medical and Biomedical Research

Designed & Developed by : Yektaweb