title: Gastrointestinal CMV in an elderly, immunocompetent patient.
abstract: An 83-year-old male with a history of diabetes but with an otherwise intact immune system presented with melena. Upper endoscopy showed gastric and duodenal ulcers. Colonoscopy showed colonic ulcers. Biopsies revealed cytomegalovirus (CMV). Therapy with an antiviral such as ganciclovir should be considered even in an immunocompetent patient if male and over the age of 55, or if they have chronic diseases such as diabetes or chronic kidney disease.
authors.affiliation: Clinical Assistant Professor, University of South Carolina School of Medicine, Greenville, South Carolina.
authors.forename: Christopher
authors.initials: C
authors.lastname: Fyock
authors.affiliation: Infectious Disease specialist, is Assistant Professor of Medicine at The Alpert Medical School of Brown University and is affiliated with the Providence Veterans Administration Medical Center, Providence, RI.
authors.forename: Melissa
authors.initials: M
authors.lastname: Gaitanis
authors.affiliation: Associate Professor (Clinical) in the Dept. of Pathology at the Southern Illinois University School of Medicine.
authors.forename: John
authors.initials: J
authors.lastname: Gao
authors.affiliation: Director of Surgical Pathology and Director of GI Pathology at Rhode Island Hospital and is an Associate Professor of Pathology at The Alpert Medical School of Brown University.
authors.forename: Murray
authors.initials: M
authors.lastname: Resnick
authors.affiliation: Associate Professor of Medicine (Clinical) at The Alpert Medical School of Brown University and is affiliated with Gastroenterology Associates, Providence, RI.
authors.forename: Samir
authors.initials: S
authors.lastname: Shah
mesh_terms: D000369:Aged, 80 and over; D000998:Antiviral Agents / Q000627:therapeutic use*; D003586:Cytomegalovirus Infections / Q000188:drug therapy*; D015774:Ganciclovir / Q000627:therapeutic use*; D005767:Gastrointestinal Diseases / Q000188:drug therapy*; D006801:Humans; D007121:Immunocompetence; D008297:Male
chemical_list: D000998:Antiviral Agents; D015774:Ganciclovir
keywords: CMV; Colitis; Ganciclovir; Immunocompetent