Cytomegalovirus ileo-pancolitis presenting as toxic megacolon in an immunocompetent patient: A case report.

Published on Feb 6, 2020in World Journal of Clinical Cases1.013
· DOI :10.12998/WJCC.V8.I3.552
Joon Hyun Cho3
Estimated H-index: 3
(Yeungnam University),
Joon Hyuk Choi21
Estimated H-index: 21
(Yeungnam University)
Sources
Abstract
Cytomegalovirus ileo-pancolitis presenting as toxic megacolon in an immunocompetent patient: A case report
📖 Papers frequently viewed together
1 Citations
17 Citations
5 Citations
References24
Newest
#1S. Bernard (UGA: University of Grenoble)H-Index: 1
#2R Germi (CNRS: Centre national de la recherche scientifique)
Last. Gaëtan Gavazzi (UGA: University of Grenoble)H-Index: 18
view all 7 authors...
Abstract Cytomegalovirus (CMV) gastrointestinal disease rarely occurs in immunocompetent patients, and is mainly diagnosed on the basis of histopathological findings. Real-time PCR for CMV DNA quantification is considered to be a useful diagnostic tool, but its place in the diagnostic strategy is not clearly defined. The goal of the study was to describe the clinical and paraclinical features of apparently immunocompetent patients with CMV gastrointestinal disease diagnosed according to quantita...
29 CitationsSource
#1Tsuyoshi Hasegawa (Memorial Hospital of South Bend)H-Index: 1
#2Kazuki Aomatsu (Memorial Hospital of South Bend)H-Index: 1
Last. Keiho Aomatsu (Memorial Hospital of South Bend)H-Index: 2
view all 5 authors...
We report a rare case of cytomegalovirus (CMV) colitis followed by severe ischemic colitis in a non-immunocompromised patient. An 86-year-old woman was admitted after experiencing episodes of vomiting and diarrhea. The next day, hematochezia was detected without abdominal pain. The initial diagnosis of ischemic colitis was based on colonoscopy and histological findings. The follow-up colonoscopy revealed a prolonged colitis. Immunohistochemical staining detected CMV-positive cells following cons...
17 CitationsSource
#1Jae-Hoon KoH-Index: 14
#2Kyong Ran PeckH-Index: 62
Last. Jae-Hoon SongH-Index: 68
view all 12 authors...
BACKGROUND: Cytomegalovirus (CMV) colitis is a common manifestation of CMV end-organ disease, which has typically been described in immunocompromised hosts. Recently, it has been noted that this also occurs in immunocompetent patients. To gather relevant data about clinical presentation, prognosis, and risk factors for development of CMV colitis in immunocompetent hosts, we analyzed all cases that occurred during a 19-year period at our institution. METHODS: A case-control study was performed to...
47 CitationsSource
Cytomegalovirus (CMV) colitis usually occurs in immunocompromised patients after undergoing organ transplantation or chemotherapy. We report the case of a 60-year-old immunocompetent Japanese woman who presented with abdominal pain and bloody diarrhea. She was initially diagnosed as having ischemic colitis with pseudomembranous colitis on the basis of her symptoms, Clostridium difficile antigen positivity, and colonoscopic findings, which showed ulcer formation from the sigmoid colon to rectum. ...
12 CitationsSource
#1Yao Ming ChenH-Index: 1
#2Yuan Pin Hung (NCKU: National Cheng Kung University)H-Index: 14
Last. Wen Chien Ko (NCKU: National Cheng Kung University)H-Index: 69
view all 12 authors...
Background/Purpose(s) To identify the clinical characteristics of cytomegalovirus (CMV) disease in chronic kidney disease (CKD) patients. Methods Patients from two sources were reviewed: (1) a retrospective study of hospitalized patients admitted between January 1990 and February 2009 was performed at a tertiary hospital in Taiwan; (2) the English literature from 1990 to 2009 was reviewed for additional cases, and adults with CKD and histopathologically documented cytomegalovirus disease were in...
39 CitationsSource
#1Khee Siang Chan (CNU: Chia Nan University of Pharmacy and Science)H-Index: 3
#2Chun Chieh YangH-Index: 3
Last. Wen Liang Yu (TMU: Taipei Medical University)H-Index: 17
view all 7 authors...
Abstract Purpose Cytomegalovirus (CMV) infection occurs increasingly in critically ill patients in intensive care units (ICUs). We reported CMV colitis which has rarely been recognized in the ICU patients. Methods CMV DNA was detected by polymerase chain reaction (PCR) for blood and/or stool samples. Definite diagnosis of CMV colitis required histopathology or CMV immunohistochemical staining of colorectal biopsies. We reviewed ICU patients characterized by positive blood or stool CMV-PCR with c...
16 CitationsSource
#1Rinaldo Focaccia Siciliano (USP: University of São Paulo)H-Index: 12
#2Jussara Bianchi Castelli (USP: University of São Paulo)H-Index: 14
Last. Tânia Mara Varejão Strabelli (USP: University of São Paulo)H-Index: 17
view all 5 authors...
Summary Objectives Cytomegalovirus (CMV) is a ubiquitous virus and its reactivation may lead to CMV end-organ disease (CMV EOD) in immunocompromised patients and also in immunocompetent patients when they are critically ill. We aimed to investigate the frequency and the clinical features of proven CMV EOD in previously non-immunosuppressed patients admitted to our institution. Methods From January 2000 to March 2013, the records of all patients with a histopathological diagnosis of CMV EOD at ou...
35 CitationsSource
Cytomegalovirus (CMV) infection is common worldwide, but the majority are asymptomatic. However, during initial infection or reactivation, CMV can cause tissue-invasive end-organ damage including in the gastrointestinal tract, especially in immunocompromised individuals. Gastrointestinal CMV disease can present with myriad of symptoms and be highly variable endoscopically. In this article we review the manifestations of CMV infection within the luminal gastrointestinal tract and discuss the opti...
47 CitationsSource
#1Polymnia Galiatsatos (McGill University)H-Index: 8
#2Ian Shrier (McGill University)H-Index: 57
Last. Andrew Szilagyi (McGill University)H-Index: 22
view all 4 authors...
There are only a few anecdotal reports of cytomegalovirus (CMV) colitis in immunocompetent hosts. The impact of the disease in this patient population remains poorly understood. The aim of this study was to perform a meta-analysis using individual patient data to determine outcomes of CMV colitis in immunocompetent patients and identify risk factors that might influence prognosis. A literature search was performed from 1980 to 2003 looking for immunocompetent patients with CMV colitis. Immunocom...
170 CitationsSource
#1Janak KishoreH-Index: 13
#2Ujjala GhoshalH-Index: 26
Last. Archana AyyagariH-Index: 24
view all 7 authors...
Despite frequent use of immunosuppressive drugs in patients with inflammatory bowel disease (IBD) and reports of cytomegalovirus (CMV) infection following post-transplant immunosuppression, data on the frequency and clinical significance of CMV in patients with IBD are scant. Sixty-three patients with IBD (61 ulcerative colitis and two Crohn's disease) were evaluated for CMV using serology (IgM antibody, μ-capture ELISA), PCR for CMV DNA in colonic biopsy and histological assessment of haematoxy...
174 CitationsSource
Cited By2
Newest
#1Ban Seok KimH-Index: 1
#2Seon-Young ParkH-Index: 17
Last. Sung Kyu ChoiH-Index: 18
view all 9 authors...
Cytomegalovirus colitis induced segmental colonic hypoganglionosis in an immunocompetent patient: A case report
Source
#1Sifu Huang (Fujian Medical University)
#2Xuefeng Bai (Fujian Medical University)H-Index: 5
Last. Xiahong Lin (Fujian Medical University)H-Index: 5
view all 6 authors...
免疫检查点抑制剂 (ICIs) 可以显著提高某些晚期恶性肿瘤的生存率, 但是, ICIs 治疗也可能导致许多免疫相关的不良反应事件. 我们的研究旨在鉴定和表征与 ICIs 相关的胃肠道不良反应事件. 鉴定和表征与 ICIs 相关的胃肠道不良反应事件, 提高对 ICIs 所致胃肠道不良事件的认识. 从世界卫生组织 (WHO) 药物不良反应数据库 VigiBase 获得 2011 年 1 月 1 日至 2019 年 3 月 6 日的药物不良反应数据, 将接受 ICIs 治疗报告的胃肠道不良反应事件与整个数据库报告进行比较. 通过计算信息成分 (IC) 和报告优势比 (ROR) 评估 ICIs 与胃肠道不良反应事件之间的关联. ICIs 治疗可导致多种胃肠道不良反应事件, 甚至可发生严重巨结肠. 对于晚期恶性肿瘤患者进行 ICIs 临床诊疗时, 需要考虑 ICIs 相关胃肠道不良反应事件.
Source