title: [Cytomegalovirus enterocolitis: a rare cause of gastrointestinal ischemia and bleeding].
abstract: Cytomegalovirus (CMV) infections are frequent in patients with severe immunodeficiency. We report a case of isolated digestive localization in a young woman initially non-immunocompromised. Initially, she was admitted in the intensive-care unit for a severe post-operative shock secondary to a respiratory distress syndrome. She then developed severe enterocolitis which was initially unexplained. Outcome was favorable but digestive perforations required multiple surgical digestive resections. The histological diagnosis was confirmed by immunofluorescence staining and the antigenemia and specific antibodies kinetics. We emphasize the various characteristics of this pathology and point out the risk of missing this unusual cause of digestive perforation and severe bleeding.
authors.affiliation: Service de Chirurgie Générale et Digestive, Hôpital Foch, Suresnes.
authors.forename: Raphaël
authors.initials: R
authors.lastname: Vialle
authors.forename: Gaëlle
authors.initials: G
authors.lastname: Burdy
authors.forename: Olivier
authors.initials: O
authors.lastname: Drain
authors.forename: Michèle
authors.initials: M
authors.lastname: Bernier
authors.forename: Pascal
authors.initials: P
authors.lastname: Frileux
mesh_terms: D003106:Colon / Q000098:blood supply*; D003586:Cytomegalovirus Infections / Q000150:complications*; D004760:Enterocolitis / Q000150:complications* / Q000382:microbiology*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007082:Ileum / Q000098:blood supply*; D007511:Ischemia / Q000209:etiology*; D008875:Middle Aged