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Reactivation of Cytomegalovirus in Colonic Tuberculosis in an Immunocompetent Patient
Aprilgate Wang1, Samuel Ji2, Sarah Semon3
1Department of Internal Medicine, University of California-Davis, UC Davis Health, Sacramento, USA.
Abstract:
Cytomegalovirus (CMV) reactivation in Mycobacterium tuberculosis (TB) infection is rare and has been only reported in immunocompromised patients. In this case report, we describe a patient with Type 2 diabetes with acute on chronic abdominal pain found to have miliary TB with terminal ileitis and ascending colon ulcers with biopsy-positive TB and CMV. The decision was made not to treat the local CMV reactivation, and he improved solely on standard drug-susceptible antituberculous therapy. This is the first reported case of gastrointestinal TB and CMV coinfection in a patient without known classic immunodeficiency.
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