Korean J Med.
2002 Feb;62(2):218-222.
A case of cytomegalovirus colitis in immunocompetent patient
- Affiliations
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- 1Department of Internal Medicine, Dong-A University College of Medicine, Pusan, Korea.
- 2Department of Anatomical Pathology, Dong-A University College of Medicine, Pusan, Korea.
- 3Department of Clinical Pathology, Dong-A University College of Medicine, Pusan, Korea.
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.
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