Cytomegalovirus colitis in a chronic haemodialysis patient
2011
Cytomegalovirus (CMV) infection is common in humans, usually asymptomatic in the immunocompetent host. In some conditions that reduce cellular immunity, latent CMV may reactivate, and patients are rendered susceptible to systemic CMV disease, characterised by fever, pancytopaenia and inflammatory changes in multiple organs. The gastrointestinal tract is frequently involved, with the colon being the most common site of CMV infection. The authors report a case of CMV colitis in a haemodialysis patient with persistent aqueous diarrhoea. A rarely described association, of interest is the differential diagnosis to exclude other more common gastrointestinal disorders in these patients, as well as the favourable clinical course and response to antiviral treatment.
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