Cytomegalovirus ileitis in a non-immunocompromised old patient: a case report

La Revue de médecine interne
S PerrinP Manckoundia

Abstract

Cytomegalovirus ileitis occurs rarely in immunocompetent subjects. An 88-year-old woman presented with severe pain located in right iliac fossa. Biological tests showed an increase in C-reactive protein and neutrophils. Colonoscopy revealed a severely ulcerated and inflamed terminal ileal mucosa. Histopathological analysis of biopsies showed a typical cytopathic effect with ballooned cells and intranuclear inclusions, confirmed by positive immunological marking with anti-cytomegalovirus antibodies. Cytomegalovirus polymerase chain reaction in the plasma showed positive activity. The patient was successfully treated with valganciclovir. The predominant or isolated ileal location of cytomegalovirus infection should be known, especially in the elderly because aging could be a risk factor.

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Citations

May 28, 2013·La Revue de médecine interne·A PérisseA Faivre

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