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Cytomegalovirus proctitis mimicking rectal cancer in an immunocompetent elderly patient: a case report

Sathyavani Subbarao1, Anthony O'Sullivan, Tolu Adesina

  • 1Department of Pathology, North Middlesex University Hospital, Sterling Way, N181QX London, UK. sathyavani81@gmail.com.

BMC Research Notes
|November 17, 2014
PubMed
Abstract

Insights

Cytomegalovirus (CMV) proctitis was incidentally diagnosed in an immunocompetent elderly man. This case highlights the need to consider CMV in elderly patients presenting with gastrointestinal issues and systemic inflammation.

Area of Science:

  • Infectious Diseases
  • Gastroenterology
  • Geriatrics

Background:

  • Cytomegalovirus (CMV) infection poses significant risks for immunocompromised individuals.
  • The impact of CMV on immunocompetent individuals, particularly the elderly, is less understood.
  • Emerging evidence suggests a link between chronic CMV infection and increased cardiovascular risk.

Observation:

  • A case of incidental Cytomegalovirus proctitis diagnosis in an immunocompetent elderly male is presented.
  • The patient was admitted following a stroke and investigated for rectal cancer due to bloody diarrhea and systemic inflammation.
  • This case underscores the importance of considering CMV in the differential diagnosis of elderly patients with non-specific symptoms.

Findings:

  • The case prompts a re-evaluation of diagnostic approaches for immunocompetent elderly patients with gastrointestinal symptoms.
  • It raises questions about the potential role of chronic CMV infection in cerebrovascular events like stroke.
  • Evidence regarding the benefits of treating CMV in immunocompetent elderly patients requires further exploration.

Implications:

  • Revised diagnostic strategies are needed for immunocompetent elderly patients presenting with concerning symptoms.
  • The potential contribution of chronic CMV infection to cardiovascular events warrants further investigation.
  • Understanding the benefits of CMV treatment in this population is crucial for clinical practice.

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