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[A case of cytomegalovirus colitis with endoscopic finding resembling Crohn's disease].
- Source :
-
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi [Korean J Gastroenterol] 2012 Apr; Vol. 59 (4), pp. 303-7. - Publication Year :
- 2012
-
Abstract
- Cytomegalovirus (CMV) colitis is common among immunocompromised patients, and often diagnosed by pathologic confirmation because it is associated with a diverse spectrum of clinical and endoscopic features. However, Crohn's disease has no definitive diagnostic criteria, but longitudinal ulcers and cobble stone appearance are accepted as typical endoscopic features of Crohn's disease. An 83 year-old male with a history of radiotherapy for hypopharyngeal cancer visited our hospital with a complaint of melena for 1 week. His colonoscopic exam showed multiple longitudinal ulcers along the entire colon. Most of the ulcers were longer than 4 cm, these endoscopic findings were suspected as typical endoscopic features of Crohn's disease. Pathologic reports revealed multiple inclusion bodies with CMV on immunohistochemistry. He was finally diagnosed as having CMV colitis, and received a 3 week-course of intravenous ganciclovir. A colonoscopic follow-up showed complete healing of the multiple longitudinal ulcers, and he is doing well now without further treatment.
- Subjects :
- Aged, 80 and over
Antiviral Agents therapeutic use
Colitis etiology
Colitis pathology
Colonoscopy
Crohn Disease diagnosis
Cytomegalovirus Infections drug therapy
Cytomegalovirus Infections pathology
Ganciclovir therapeutic use
Humans
Immunohistochemistry
Injections, Intravenous
Male
Tomography, X-Ray Computed
Colitis diagnosis
Cytomegalovirus Infections diagnosis
Subjects
Details
- Language :
- Korean
- ISSN :
- 2233-6869
- Volume :
- 59
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
- Publication Type :
- Academic Journal
- Accession number :
- 22544028
- Full Text :
- https://doi.org/10.4166/kjg.2012.59.4.303