Cytomegalovirus colitis in an apparently immunecompetent host after bilio- pancreatic diversion for obesity
| Journal | Volume 71 - 2008 |
| Issue | Fasc.4 - Case reports |
| Author(s) | Stijn Van Gool, Lieve Van Casteren, Otto Buchel, Eric Frans, Francisca Dedeurwaerdere, August Van Olmen, Geert d'Haens, Veerle Moons, Paul Christiaens |
| Full article |
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| Departments of (1) Gastroenterology and Hepatology, (2) Pneumology and Intensive Care, (3) Pathology, Imelda Hospital, Bonheiden, Belgium. |
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CMV colitis in an immunocompetent host is a rare occurrence. We report a case of CMV colitis after biliopancreatic diversion surgery. The diagnosis of primary CMV infection with CMV colitis was based on histological examination of tissues biopsies obtained at colonoscopy, serology positive for CMV-IgM and CMV-IgG antibodies and a good response to systemic gancyclovir treatment. Malnutrition and colonic mucosal damage, both conse- quences of biliopancreatic diversion surgery, were thought to be predisposing factors. To our knowledge this is the first report in the English language literature of an association between CMV colitis and status follow- ing biliopancreatic diversion surgery. (Acta gastroenterol. belg., 2008, 71, 423-426). |
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© Acta Gastro-Enterologica Belgica. PMID 19317287 |
