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Published on: July 6, 2013
[Cytomegalovirus ileitis in a non-immunocompromised old patient: a case report]
S Perrin1, A Putot, H Guépet-Sordet
1Service de médecine interne gériatrie, hôpital de Jour, hôpital de Champmaillot, CHU de Dijon, 2 rue Jules-Violle, Dijon cedex, France.
Introduction:
Cytomegalovirus ileitis occurs rarely in immunocompetent subjects.
Case Report:
An 88-year-old woman presented with severe pain located in right iliac fossa. Biological tests showed an increase in C-reactive protein and neutrophils. Colonoscopy revealed a severely ulcerated and inflamed terminal ileal mucosa. Histopathological analysis of biopsies showed a typical cytopathic effect with ballooned cells and intranuclear inclusions, confirmed by positive immunological marking with anti-cytomegalovirus antibodies. Cytomegalovirus polymerase chain reaction in the plasma showed positive activity. The patient was successfully treated with valganciclovir.
Conclusion:
The predominant or isolated ileal location of cytomegalovirus infection should be known, especially in the elderly because aging could be a risk factor.
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