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[A case of cytomegalovirus colitis with endoscopic finding resembling Crohn's disease].

Authors :
Huh CW
Youn YH
Jung DH
Kim DW
Kho BG
Kim JH
Park H
Lee SI
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.

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