title: Rectal prolapse associated with cytomegalovirus pseudomembranous colitis in a child infected by human immunodeficiency virus.
abstract: We report a newly recognized presentation of cytomegalovirus (CMV) enterocolitis in a 4-year-old girl with newly diagnosed HIV disease who presented with rectal prolapse. Gross findings showed multiple whitish punctate lesions. An endoscopic examination revealed multiple shallow ulcers and pseudomembranes along the colon. A biopsy from colonic tissues demonstrated CMV-like inclusion bodies. A direct immunofluorescence assay using specific CMV monoclonal antibody was positive for CMV-infected cells in specimens from the rectal smear.
authors.affiliation: Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. chitsanu.p@chula.ac.th
authors.forename: Chitsanu
authors.initials: C
authors.lastname: Pancharoen
authors.forename: Sasithorn
authors.initials: S
authors.lastname: Likitnukul
authors.forename: Voranush
authors.initials: V
authors.lastname: Chongsrisawat
authors.forename: Boosba
authors.initials: B
authors.lastname: Vivatvekin
authors.forename: Parvapan
authors.initials: P
authors.lastname: Bhattarakosol
authors.forename: Pongsepeera
authors.initials: P
authors.lastname: Suwangool
authors.forename: Usa
authors.initials: U
authors.lastname: Thisyakorn
mesh_terms: D002675:Child, Preschool; D003586:Cytomegalovirus Infections / Q000150:complications*; D004761:Enterocolitis, Pseudomembranous / Q000150:complications*; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D012005:Rectal Prolapse / Q000821:virology*