title: Primary cytomegalovirus ileitis complicated by massive gastrointestinal haemorrhage in a patient with steroid refractory Crohn's disease.
abstract: A young man with known steroid refractory terminal ileal Crohn's disease developed torrential gastrointestinal bleeding necessitating an emergency ileal resection. Serology was indicative of primary cytomegalovirus (CMV) infection and this was confirmed with histopathology of the resected ileum. We highlight the difficulty in clinical practice of distinguishing between CMV infection and CMV disease as well as the different investigations available to aid in the diagnosis of pathogenic CMV disease.
authors.affiliation: Gastroenterology and Hepatology Unit, Monash Medical Centre, Melbourne, Victoria, Australia.
authors.forename: S T T
authors.initials: ST
authors.lastname: Le
authors.forename: S S K
authors.initials: SS
authors.lastname: Lee
authors.forename: L
authors.initials: L
authors.lastname: Prideaux
authors.forename: A A
authors.initials: AA
authors.lastname: Block
authors.forename: G T C
authors.initials: GT
authors.lastname: Moore
mesh_terms: D000328:Adult; D003424:Crohn Disease / Q000150:complications / Q000188:drug therapy* / Q000601:surgery; D003586:Cytomegalovirus Infections / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007079:Ileitis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D013256:Steroids / Q000627:therapeutic use*
chemical_list: D013256:Steroids