[Acute cytomegalovirus (CMV) recto-colitis mimicking rectal carcinoma without apparent cause of immunodeficiency].
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.
Macaigne
Gilles
G
Service d'Hépato-Gastroentérologie, Hôpital de Lagny-Marne-la-Vallée, 77405 Lagny-sur-Marne Cedex. gmacaigne@ch-lagny77.fr
Auriault
Marie-Luce
ML
Boivin
Jean-François
JF
Chayette
Claude
C
Cheaib
Sadek
S
Deplus
Renaud
R
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*