title: [Acute cytomegalovirus (CMV) recto-colitis mimicking rectal carcinoma without apparent cause of immunodeficiency].
abstract: Cytomegalovirus (CMV) infection of the gastrointestinal tract occurs mainly in immunosuppressed patients. We report here the case of a 76-Year-old woman, without obvious cause of immunosuppression, who developed severe proctitis. The clinical course was favourable with ganciclovir therapy. In the absence of controlled data in the field of CMV intestinal infections in immunocompetents, we discuss the potential benefit of an antiviral therapy in those patients who do not recover rapidly and spontaneously.
authors.affiliation: Service d'Hépato-Gastroentérologie, Hôpital de Lagny-Marne-la-Vallée, 77405 Lagny-sur-Marne Cedex. gmacaigne@ch-lagny77.fr
authors.forename: Gilles
authors.initials: G
authors.lastname: Macaigne
authors.forename: Marie-Luce
authors.initials: ML
authors.lastname: Auriault
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Boivin
authors.forename: Claude
authors.initials: C
authors.lastname: Chayette
authors.forename: Sadek
authors.initials: S
authors.lastname: Cheaib
authors.forename: Renaud
authors.initials: R
authors.lastname: Deplus
mesh_terms: D000208:Acute Disease; D000368:Aged; D003586:Cytomegalovirus Infections / Q000175:diagnosis* / Q000276:immunology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011350:Proctocolitis / Q000175:diagnosis* / Q000821:virology*; D012004:Rectal Neoplasms / Q000175:diagnosis*