J Korean Geriatr Soc.  2009 Dec;13(4):238-241.

A Case of Cytomegalovirus Colitis with Nontuberculous Mycobacterium Infection in Immunocompetent Host

Affiliations
  • 1Department of Internal Medicine, National Medical Center, Seoul, Korea. kn37503@hotmail.com
  • 2Department of Pathology, National Medical Center, Seoul, Korea.

Abstract

Cytomegalovirus(CMV) infections are common in immune compromised situations such as human immunodeficiency virus infection and organ transplantation. However CMV colitis had been rarely found in immunocompetent individuals. We experienced a case of an 83-year-old female patient, initially immune competent, who developed a massive lower gastrointestinal bleeding caused by CMV colitis. Previously, multiple antibiotics were used for nontuberculous Myco- bacterium and other bacterial infections after total knee arthroplasty. Colonoscopy revealed multiple ulcerations and mucosal congestion with hemorrhage. In spite of ganciclovir therapy, our patient did not recover.

Keyword

Cytomegalovirus; Colitis; Immunocompetent; Nontuberculous Mycobacterium

MeSH Terms

Aged, 80 and over
Anti-Bacterial Agents
Arthroplasty
Bacterial Infections
Colitis
Colonoscopy
Cytomegalovirus
Estrogens, Conjugated (USP)
Female
Ganciclovir
Hemorrhage
HIV
Humans
Knee
Mycobacterium Infections, Nontuberculous
Nontuberculous Mycobacteria
Organ Transplantation
Transplants
Ulcer
Anti-Bacterial Agents
Estrogens, Conjugated (USP)
Ganciclovir
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