title: Self-limited colitis during the course of rubella and cytomegalovirus infection in an immunocompetent adult.
abstract: 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.
authors.affiliation: Division of Gastroenterology, Fukushima Rosai Hospital, 3 Numajiri, Tsuzurimachi, Uchigo, Iwaki 973-8403.
authors.forename: Kota
authors.initials: K
authors.lastname: Sugisaki
authors.forename: Satoshi
authors.initials: S
authors.lastname: Maekawa
authors.forename: Kenji
authors.initials: K
authors.lastname: Mori
authors.forename: Osamu
authors.initials: O
authors.lastname: Ichii
authors.forename: Kikuo
authors.initials: K
authors.lastname: Kanda
authors.forename: Mayumi
authors.initials: M
authors.lastname: Tai
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Suzuki
authors.forename: Hironobu
authors.initials: H
authors.lastname: Ochiai
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Ejiri
authors.forename: Masashi
authors.initials: M
authors.lastname: Takahashi
authors.forename: Hando
authors.initials: H
authors.lastname: Hakozaki
mesh_terms: 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
chemical_list: D000998:Antiviral Agents