Cytomegalovirus Limited to the Rectum in an Immunosuppressed IBD Patient

To the Editors, A 43-year-old female with 23 years history of procitits treated with oral mesalamine and azathioprine presented to another hospital with a few months of 4 to 5 bloody bowel movements/day, fecal incontinence, and tenesmus. Endoscopy showed Mayo 2 inflammation up to 20 cm from the anal verge. Histology was compatible with IBD. She did not respond to optimization of oral + topical aminosalicylates (5-ASA) nor to 60 mg/day of...