Cytomegalovirus enterocolitis in an immunocompetent individual.
We report a rare case of cytomegalovirus (CMV) enterocolitis in a healthy 57-year-old woman. In March 1999, she developed hematochezia, diarrhea, and abdominal pain. Total colonoscopy on March 17th showed multiple aphthoid lesions and friable mucosa from the terminal ileum to the rectum and a shallow ulcer on the ileocecal valve. Repeat total colonoscopy on April 19th showed faded aphthoid lesions in the terminal ileum, and biopsy specimen revealed CMV inclusion bodies. Symptoms and endoscopic findings improved without any specific medication. In previous reports, the definition of "immunocompetent individual" varied. Here, we define immunocompetent individual as one who has no associated diseases, is not under immunosuppressive therapy, has no recent history of operation, is negative for human immunodeficiency virus antibody, is not pregnant, has no obvious infectious course, and is less than 70 years of age. This is the ninth report of CMV enterocolitis in an immunocompetent individual in the world literature.
Sakamoto
Ichiko
I
Gastroenterology 2, Department of Internal Medicine, Tokai University School of Medicine, Kanagawa, Japan. ichikos@aol.com
Shirai
Takayuki
T
Kamide
Tatsuhiro
T
Igarashi
Muneki
M
Koike
Jun
J
Ito
Akemi
A
Takagi
Atsushi
A
Miwa
Takeshi
T
Kajiwara
Hiroshi
H
D003113:Colonoscopy; D003586:Cytomegalovirus Infections / Q000473:pathology* / Q000503:physiopathology*; D004760:Enterocolitis / Q000473:pathology* / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007121:Immunocompetence / Q000502:physiology*; D008875:Middle Aged