Korean J Gastrointest Endosc.  2009 May;38(5):279-283.

A Case of Cytomegalovirus and Pseudomembranous Colitis in an Immunocompetent Adult

• Ryu SY
• Bae KH
• Jang BK

Abstract

Cytomegalovirus (CMV) colitis is a rare event that has been described mainly in immunocompromised patients who are on immunosuppressive medication or they have HIV infection. CMV colitis manifesting in an immunocompetent host is exceedingly rare, but this has occasionally been described in pregnant patients and patients with chronic renal failure. Pseudomembranous colitis (PMC) is known to develop with long-term antibiotic administration and it is caused by the abnormal overgrowth of toxin-producing Clostridium difficile that colonize the large bowel. Appropriate diagnostic testing and early treatment may avert morbidity and mortality. A case of the simultaneous occurrence of cytomegalovirus and Clostridium difficile colitis in an immunocompetent adult has not yet been reported in the Koran medical literature. We report here on a case of the simultaneous occurrence of cytomegalovirus and Clostridium diffiicle colitis in an immunocompetent Korean adult.

Keyword

Cytomegalovirus colitis; Pseudomembranous colitis

MeSH Terms

Adult
Clostridium
Clostridium difficile
Colitis
Colon
Cytomegalovirus
Diagnostic Tests, Routine
Enterocolitis, Pseudomembranous
HIV Infections
Humans
Immunocompromised Host
Kidney Failure, Chronic