[Cytomegalovirus-induced colitis in an immunocompetent old patient].
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.
Fleischer
Barbara
B
Medizinische Klinik, Diakonissen-Stiftungs-Krankenhaus Speyer gGmbH, Speyer. barbara.fleischer@diakonissen-speyer.de
Morgenthaler
Jochen
J
Tippel
Günther
G
Kuhfus
Andreas
A
Gieseler
Ulf
U
Stolte
Manfred
M
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
D015774:Ganciclovir