Cytomegalovirus infection in a patient with Crohn's ileocolitis

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Coban S., Ensari A., KUZU M. A., Yalcin S., Palabiyikoglu M., Ormeci N.

CANADIAN JOURNAL OF GASTROENTEROLOGY, cilt.19, sa.2, ss.109-111, 2005 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 19 Sayı: 2
  • Basım Tarihi: 2005
  • Doi Numarası: 10.1155/2005/804139
  • Dergi Adı: CANADIAN JOURNAL OF GASTROENTEROLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED)
  • Sayfa Sayıları: ss.109-111
  • Anahtar Kelimeler: Crohn's ileocolitis, cytomegalovirus, inflammatory, bowel disease, INFLAMMATORY-BOWEL-DISEASE, ULCERATIVE-COLITIS, IMMUNOCOMPETENT INDIVIDUALS, ONSET
  • Ankara Üniversitesi Adresli: Evet

Özet

Cytomegaloviral enterocolitis is an Uncommon infection that can complicate inflamroaror, bowel disease. A case of a patient with a three-year history of Crohn's disease is reported. He had been in a stable condition on mesalamine 4 g/day and methylprednisolone 10 mg/day for three years until four weeks before admission. The patient was admitted with complaints of fever, abdominal pain and watery diarrhea. A diagnosis of an exacerbation of Crohn's disease was established. The radiological examination revealed narrowing of the terminal ileum. Multiple fistulas and abscess-like images were observed. The patient then Underwent ileocolic resection and ileostomy. The histopathological examination revealed Crohn's ileocolitis with superimposed cytomegalovirus infection. In patients with rapidly deteriorating inflammatory bowel disease, cytomegatovirus infection should be kept in mind as one of the differential diagnoses.