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Cytomegalovirus proctitis in a diabetic
1Department of Radiology, Seoul National University College of Medicine, #28, Yongon-dong, Chongno-gu, Seoul, 110-744, South Korea.
Abdominal Imaging
|February 6, 1999
Summary
Cytomegalovirus (CMV) proctitis, typically seen in immunocompromised patients, occurred unusually in an elderly adult with uncontrolled diabetes. Imaging revealed significant rectal ulceration and a sinus tract, highlighting a rare presentation in a non-immunosuppressed host.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Virology
Background:
- Cytomegalovirus (CMV) colitis typically affects individuals with compromised immune systems.
- CMV infection in the gastrointestinal tract is rare in non-immunosuppressed hosts.
Observation:
- An elderly adult with uncontrolled diabetes mellitus presented with symptoms of proctitis.
- The patient had no history of immunosuppressive therapy.
Findings:
- Barium studies and computed tomography revealed extensive rectal ulceration and a sinus tract.
- This case represents a rare instance of CMV proctitis in a non-immunosuppressed host.
Implications:
- This case expands the understanding of CMV proctitis presentation beyond typical immunosuppressed populations.
- Highlights the importance of considering CMV in non-immunosuppressed individuals with severe proctitis, especially those with underlying conditions like diabetes.
- Suggests that uncontrolled diabetes may play a role in the pathogenesis of CMV proctitis in non-immunosuppressed hosts.