Passage of intestinal casts-An unusual presentation of Cytomegalovirus enterocolitis

Nisakorn Limthanetkul1, Dussadee Sakonlaya2, Sith Siramolpiwat1,3

  • 1Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Thammasat University, Pathumthani, Thailand.

Idcases
|August 25, 2021
PubMed

Cytomegalovirus (CMV) is one of the leading opportunistic pathogens affecting immunocompromised patients. We report a case of histologically-confirmed extensive CMV enterocolitis in a young woman after receiving rituximab and tocilizumab for the treatment of autoimmune encephalitis. During the antiviral treatment, she spontaneously excreted small intestinal casts per oral and colonic casts per anus. Even though intestinal cast is an extremely unusual condition, CMV infection should be included in the differential diagnosis.