title: Cytomegalovirus enteritis causing ileal perforation in an elderly immunocompetent individual.
abstract: 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.
authors.affiliation: Department of Internal Medicine, East-West Neo Medical Center, Kyung Hee University College of Medicine, Seoul, Korea. dramc@hanmail.net
authors.forename: Jae Myung
authors.initials: JM
authors.lastname: Cha
authors.forename: Joung Il
authors.initials: JI
authors.lastname: Lee
authors.forename: Jae Won
authors.initials: JW
authors.lastname: Choe
authors.forename: Kwang Ro
authors.initials: KR
authors.lastname: Joo
authors.forename: Sung Won
authors.initials: SW
authors.lastname: Jung
authors.forename: Hyun Phil
authors.initials: HP
authors.lastname: Shin
authors.forename: Sung Il
authors.initials: SI
authors.lastname: Choi
mesh_terms: 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