A Case of Cytomegalovirus Colitis with Nontuberculous Mycobacterium Infection in Immunocompetent Host.
- Author:
Gwang Jun CHOI
1
;
Seong Woo NAM
;
Seong Eun LEE
;
Hyuck Choon KWEON
;
Sung Wook YANG
;
Dong Myoung KWAK
;
Keun Sook LEE
;
Ji Weon YU
;
Han Seop CHOI
;
Jung Il SUH
Author Information
1. Department of Internal Medicine, National Medical Center, Seoul, Korea. kn37503@hotmail.com
- Publication Type:Case Report
- Keywords:
Cytomegalovirus;
Colitis;
Immunocompetent;
Nontuberculous Mycobacterium
- MeSH:
Aged, 80 and over;
Anti-Bacterial Agents;
Arthroplasty;
Bacterial Infections;
Colitis;
Colonoscopy;
Cytomegalovirus;
Estrogens, Conjugated (USP);
Female;
Ganciclovir;
Hemorrhage;
HIV;
Humans;
Knee;
Mycobacterium Infections, Nontuberculous;
Nontuberculous Mycobacteria;
Organ Transplantation;
Transplants;
Ulcer
- From:Journal of the Korean Geriatrics Society
2009;13(4):238-241
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cytomegalovirus(CMV) infections are common in immune compromised situations such as human immunodeficiency virus infection and organ transplantation. However CMV colitis had been rarely found in immunocompetent individuals. We experienced a case of an 83-year-old female patient, initially immune competent, who developed a massive lower gastrointestinal bleeding caused by CMV colitis. Previously, multiple antibiotics were used for nontuberculous Myco- bacterium and other bacterial infections after total knee arthroplasty. Colonoscopy revealed multiple ulcerations and mucosal congestion with hemorrhage. In spite of ganciclovir therapy, our patient did not recover.