Cytomegalovirus enteritis causing ileal perforation in an elderly immunocompetent individual.
Cytomegalovirus (CMV) infection is usually subclinical in immunocompetent individuals, however it can be life threatening in an elderly immunocompetent individual. We report a case of CMV enteritis causing ileal perforation in a physically active elderly man. An 88-year-old healthy man presented with abdominal pain and diarrhea. After initial conservative treatment, emergency laparotomy was performed for ileal perforation. The diagnosis of CMV enteritis was based on histological findings revealing many large cells with CMV inclusion bodies in the surgical specimen. In elderly individuals, even though they are immunocompetent, CMV enteritis may result in major complications such as bowel perforation, and it should be included in the differential diagnosis of diarrhea if it is resistant to conventional treatment.
Cha
Jae Myung
JM
Department of Internal Medicine, East-West Neo Medical Center, Kyung Hee University College of Medicine, Seoul, Korea. dramc@hanmail.net
Lee
Joung Il
JI
Choe
Jae Won
JW
Joo
Kwang Ro
KR
Jung
Sung Won
SW
Shin
Hyun Phil
HP
Choi
Sung Il
SI
D000369:Aged, 80 and over; D003586:Cytomegalovirus Infections / Q000150:complications* / Q000175:diagnosis; D004751:Enteritis / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007121:Immunocompetence; D007416:Intestinal Perforation / Q000209:etiology*; D008297:Male; D014057:Tomography, X-Ray Computed