title: Large bowel perforation secondary to CMV colitis: an unusual primary presentation of HIV infection.
abstract: We report a case of HIV-associated Cytomegalovirus colitis complicated by large bowel perforation. A 62-year-old man of same-sex relationship was not known to have HIV, but a diagnosis of inflammatory bowel disease was made early in his admission, with steroid treatment initiated. He was later confirmed to be HIV positive, and found to have multiple microperforations of the bowel necessitating ileocecectomy and Hartmann's procedures.
authors.affiliation: A&E, Blackpool Victoria Hospital, Blackpool, UK.
authors.forename: Daniel Richard
authors.initials: DR
authors.lastname: Barling
authors.affiliation: Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UK.
authors.forename: Simon
authors.initials: S
authors.lastname: Tucker
authors.affiliation: Department of Radiology, Blackpool Victoria Hospital, Blackpool, UK.
authors.forename: Haren
authors.initials: H
authors.lastname: Varia
authors.affiliation: Department of Gastroenterology, Blackpool Victoria Hospital, Blackpool, UK.
authors.forename: Peter
authors.initials: P
authors.lastname: Isaacs
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000175:diagnosis*; D003093:Colitis, Ulcerative / Q000601:surgery / Q000821:virology*; D003586:Cytomegalovirus Infections / Q000150:complications / Q000175:diagnosis*; D057210:Delayed Diagnosis; D003937:Diagnosis, Differential; D004646:Emphysema / Q000175:diagnosis; D006679:HIV Seropositivity / Q000175:diagnosis; D018451:Homosexuality, Male; D006801:Humans; D007416:Intestinal Perforation / Q000601:surgery / Q000821:virology*; D008297:Male; D008875:Middle Aged; D012810:Sigmoid Diseases / Q000175:diagnosis / Q000821:virology; D012812:Sigmoidoscopy; D014057:Tomography, X-Ray Computed