Korean J Gastrointest Endosc.
2003 Mar;26(3):158-162.
A Case of Cytomegalovirus (CMV) Colitis in a Patient after Splenectomy
- Affiliations
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- 1Department of Internal Medicine, Seoul Veterans Hospital, Seoul, Korea. combang1@kornet.net
- 2Department of Diagnostic Radiology, Seoul Veterans Hospital, Seoul, Korea.
- 3Department of Pathology, Seoul Veterans Hospital, Seoul, Korea.
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.
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