Abstract
This is a case of a 74 years old immunocompetent female who developed severe diarrhea after haemorrhoidopexy for 2 months duration. Investigations to find the cause of persistent diarrhea were done, including colonoscopy showed ulcers from which biopsy was taken and the presence of CMV-DNA was identified. She got treated with IV and oral Ganciclovir and repeated colonoscopy showed improvement of the ulcers with gradually improvement of diarrhea.
Highlights
Case PresentationCytomegalovirus (CMV) colitis usually occurs in patients with advanced immunosuppression
Image 2: Colonoscopy at rectosigmoid region showing ulcers with white slough Random biopsies were taken from the entire colon and terminal ileum
The patient was put on treatment with Ganciclovir intravenously (IV) for 2 weeks, followed by oral Ganciclovir for another 4 weeks to treat cytomegalovirus colitis
Summary
Cytomegalovirus (CMV) colitis usually occurs in patients with advanced immunosuppression. CMV colitis clinically presents with a low-grade fever, weight loss, anorexia, malaise, and abdominal pain [2]. The first report highlighting CMV colitis in an immunocompetent patient was published in 1992. Prior to the presentation patient underwent stapled hemorrhoidopexy for prolapsed bleeding haemorrhoids with uneventful immediate postoperative course.
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