A case of cytomegalovirus colitis in immunocompetent patient.
- Author:
Kyung Ha SONG
1
;
Jong Hun LEE
;
Jin Suk JANG
;
Sung Hun MUN
;
Se Jun JANG
;
Myung Hwan RHO
;
Sang Young HAN
;
Suk Lyul CHOI
;
Woo Won SHIN
;
Tae Ho PARK
;
Moo Hyun KIM
;
Mee Suk RHO
;
Kyung Hee KIM
Author Information
1. Department of Internal Medicine, Dong-A University College of Medicine, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Colitis;
Cytomegalovirus
- MeSH:
Acquired Immunodeficiency Syndrome;
Aged;
Biopsy;
Colitis*;
Cytomegalovirus*;
Cytoplasm;
Female;
Heart Failure;
Humans;
Immunocompromised Host;
Immunohistochemistry;
Intranuclear Inclusion Bodies;
Mucous Membrane;
Ulcer
- From:Korean Journal of Medicine
2002;62(2):218-222
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cytomegalovirus (CMV) infection is more frequent in immunocompromised patients those with acquired immunodeficiency syndrome (AIDS), malignant disease, steroid therapy. However, CMV can infect a healthy person who has normal immunity. Most cases of CMV infections are due to reactivation of latent virus. We report a case of cytomegalovirus colitis in a 73 years old woman who has congestive heart failure with normal immunity. Sigmidoscopy reveals cobble stone like mucosa and deep ulceration. CMV infection produces a cytomegalic cell containing a intranuclear inclusion, which is surrounded by clear halo in Hematoxylin-Eosin stain. Immunohistochemical stain for CMV reveals focal positive in cytoplasm and in nuclei of large cells. We diagnosed CMV colitis with histopathologic finding and immunohistochemistry through sigmoidoscopic mucosal biopsy.