A Case of Cytomegalovirus (CMV) Colitis in a Patient after Splenectomy.
- Author:
Sang Yol CHON
1
;
Yun Jeong LIM
;
Mi Young KIM
;
Jung Rye KIM
;
Dong Hyun LEE
;
Ju Rak MA
;
Ga Young LEE
;
Choon Kwan KIM
;
Su Hyun YANG
;
Jong Hun BYUN
Author Information
1. Department of Internal Medicine, Seoul Veterans Hospital, Seoul, Korea. combang1@kornet.net
- Publication Type:Case Report
- Keywords:
Cytomegalovirus (CMV) colitis;
Splenectomy
- MeSH:
Abdominal Pain;
Acquired Immunodeficiency Syndrome;
Aged;
Colitis*;
Colonoscopy;
Cytomegalovirus*;
Diarrhea;
Ganciclovir;
Humans;
Korea;
Sepsis;
Splenectomy*
- From:Korean Journal of Gastrointestinal Endoscopy
2003;26(3):158-162
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cytomegalovirus (CMV) is the most common cause of life-threatening opportunistic viral infection in patients with acquired immunodeficiency syndrome (AIDS). However, CMV infection may occur in the immunocompetent individuals. CMV colitis has not been reported in a patient with splenectomy in Korea. Recently, we experienced a case of fatal CMV colitis in a patient with splenectomy. A 69-year-old man complained of bloody mucoid diarrhea and abdominal pain for 2 months. He had the splenectomy 6 months ago. CMV colitis was diagnosed by colonoscopy and pathologic examination. He died of sepsis in spite of antiviral ganciclovir therapy.