title: [Cytomegalovirus-induced colitis in an immunocompetent old patient].
abstract: BACKGROUND
  The cytomegalovirus (CMV) causes multiple diseases in patients with immunodeficiency. Also in patients with chronic inflammatory bowel disease, superinfections with CMV are known. Reactivation or infection is possible in rare cases in immunocompetent patients. CMV-induced colitis should be considered a differential diagnosis especially in patients suffering from diarrhea or bloody stools.
  
  
  METHODS
  The case of an 87-year-old patient with severe colitis is reported, who did not suffer from chronic inflammatory bowel disease nor from immunodeficiency. The most important hint came from the pathologist. The clinical outcome under antiviral therapy with ganciclovir was good.
  
  
  CONCLUSIONS
  Even in immunocompetent patients, CMV-induced colitis should be taken into consideration, especially in elderly people.
authors.affiliation: Medizinische Klinik, Diakonissen-Stiftungs-Krankenhaus Speyer gGmbH, Speyer. barbara.fleischer@diakonissen-speyer.de
authors.forename: Barbara
authors.initials: B
authors.lastname: Fleischer
authors.forename: Jochen
authors.initials: J
authors.lastname: Morgenthaler
authors.forename: Günther
authors.initials: G
authors.lastname: Tippel
authors.forename: Andreas
authors.initials: A
authors.lastname: Kuhfus
authors.forename: Ulf
authors.initials: U
authors.lastname: Gieseler
authors.forename: Manfred
authors.initials: M
authors.lastname: Stolte
mesh_terms: D000369:Aged, 80 and over; D001706:Biopsy; D002908:Chronic Disease; D003092:Colitis / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology / Q000473:pathology; D003127:Colposcopy; D003586:Cytomegalovirus Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology / Q000473:pathology; D003937:Diagnosis, Differential; D003967:Diarrhea / Q000209:etiology; D015774:Ganciclovir / Q000627:therapeutic use; D006801:Humans; D007121:Immunocompetence; D007413:Intestinal Mucosa / Q000473:pathology; D008297:Male
chemical_list: D015774:Ganciclovir