Ileal perforation caused by cytomegalovirus infection in an immunocompetent adult.
A 71-year-old woman developed a small bowel perforation due to cytomegalovirus infection. She did not taken any immunosuppressive medication and her cellular immunity was normal. Surgical resection and antiviral therapy with ganciclovir led to complete recovery. As far as we know, this paper reports the first case of small bowel perforation due to cytomegalovirus infection in a non-immunocompromised patient. Nevertheless the patient was known with diabetes mellitus. It should be emphasised that elderly patients have impaired immune defences and may be unsuspected hosts of opportunistic infections.
Van Schaeybroeck
S
S
Department of Gastroenterology, University Hospital Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium. Sandra.Vanschaeybroeck@uz.kuleuven.ac.be
Hiele
M
M
Miserez
M
M
Croes
R
R
D000368:Aged; D000998:Antiviral Agents / Q000627:therapeutic use; D003586:Cytomegalovirus Infections / Q000150:complications*; D003920:Diabetes Mellitus; D005260:Female; D015774:Ganciclovir / Q000627:therapeutic use; D006801:Humans; D007077:Ileal Diseases / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D007416:Intestinal Perforation / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery
D000998:Antiviral Agents; D015774:Ganciclovir