Severe Cytomegalovirus ileitis preceded by acute bacterial enteritis in an immu- nocompetent patient

Cytomegalovirus (CMV) is an important cause of serious disease in immunosuppressed patients, most often as a result of latent viral reactivation (1). CMV ileitis is a rare entity, even among immunosuppressed subjects; in immunocompetent patients, only a few cases have been previously reported (1,2). We present the case of an immunocompetent adult, with an unremarkable previous medical history, who developed an acute severe bacterial ileal infection followed by CMV ileitis. A 47-year-old male, with a history of gastroesophageal reflux treated with a proton pump inhibitor, presented with a 3-day history of periumbilical cramp-like pain and diarrhea. He mentioned that his wife and daughter had had similar symptoms but recovered spontaneously.