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Indian J Surg. Feb 2008; 70(1): 28–31.
Published online Mar 19, 2008. doi:  10.1007/s12262-008-0006-z
PMCID: PMC3452596
Cytomegalovirus colitis presenting as massive lower gastrointestinal bleeding in an immunocompetent patient
Lee June,corresponding author1 Ng Chin,1 and Deyali Chatterjee2
1General Surgery Department, Changi General Hospital, Singapore, Singapore
2Pathology Department, Changi General Hospital, Singapore, Singapore
Lee June, Phone: (+65) 98368002Phone: (+65) 81258479, applepuree/at/
corresponding authorCorresponding author.
Received June 11, 2006; Accepted January 28, 2008.
Cytomegalovirus infection is ubiquitous but often remains asymptomatic in affected patients. Symptomatic cytomegalovirus infection usually occurs in immunocompromised patients— patients who are infected with the Human Immunodeficiency Virus, have received organ transplantations, or are on immunosuppressive therapies. Cytomegalovirus colitis can present with abdominal pain, diarrhea and significant per rectal blood loss. It is a rare entity in immunocompetent patients and can often be missed unless one has a high index of suspicion. We describe a case of CMV colitis in a 78-year-old patient with no known risk factors for immunosuppression who was admitted for respiratory diseases and then subsequently developed transfusion dependent lower gastrointestinal bleeding. She ultimately required surgical resection of her colon. A literature review on CMV colitis, its myriad manifestations and therapeutic outcomes was conducted, with particular emphasis on its occurrence in immunocompetent patients.
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Selected References
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