Self-limited colitis during the course of rubella and cytomegalovirus infection in an immunocompetent adult.
We report a case of self-limited colitis in cytomegalovirus (CMV) infection in an immunocompetent adult. A 22-year-old man developed a high fever and diarrhea. Laboratory data revealed an increased number of lymphocytes and liver damage. Enzyme immunoassays for anti-virus antibodies revealed that the patient was recently infected with CMV and rubella. Colonoscopy revealed severe erosive and edematous mucosa that resembled ulcerative colitis (UC). The symptoms, laboratory data and colonoscopic findings improved without any medical treatment. This case indicates that UC-like self-limited colitis can occur in an immunocompetent individual during the course of CMV infection.
Sugisaki
Kota
K
Division of Gastroenterology, Fukushima Rosai Hospital, 3 Numajiri, Tsuzurimachi, Uchigo, Iwaki 973-8403.
Maekawa
Satoshi
S
Mori
Kenji
K
Ichii
Osamu
O
Kanda
Kikuo
K
Tai
Mayumi
M
Suzuki
Tomohiro
T
Ochiai
Hironobu
H
Ejiri
Yutaka
Y
Takahashi
Masashi
M
Hakozaki
Hando
H
D000328:Adult; D000998:Antiviral Agents / Q000627:therapeutic use; D001707:Biopsy, Needle; D003093:Colitis, Ulcerative / Q000150:complications / Q000175:diagnosis* / Q000276:immunology; D003586:Cytomegalovirus Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D005500:Follow-Up Studies; D006801:Humans; D007121:Immunocompetence / Q000276:immunology*; D007150:Immunohistochemistry; D008297:Male; D012075:Remission, Spontaneous; D018570:Risk Assessment; D012409:Rubella / Q000150:complications / Q000175:diagnosis* / Q000276:immunology; D012720:Severity of Illness Index; D012812:Sigmoidoscopy / Q000379:methods; D014057:Tomography, X-Ray Computed
D000998:Antiviral Agents