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Lower gastrointestinal bleeding due to cytomegalovirus ileal ulcers in an immunocompetent man

Authors
 Sung Woo Choi  ;  Jun Pyo Chung  ;  Young Koo Song  ;  Young Nyun Park  ;  Juck Kum Chu  ;  Dong Joo Kim  ;  Jae Han Jung  ;  Chang Hoon Lee  ;  Se Joon Lee  ;  Hyo Jin Park  ;  Kwan Sik Lee  ;  Sang In Lee  ;  In Suh Park  ;  Seung Kook Sohn 
Citation
 YONSEI MEDICAL JOURNAL, Vol.42(1) : 147-151, 2001 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2001
MeSH
Cytomegalovirus Infections/complications* ; Gastrointestinal Hemorrhage/etiology* ; Humans ; Ileal Diseases/complications* ; Male ; Middle Aged ; Ulcer/complications*
Keywords
Cytomegalovirus ; immunocompetent host ; ileum ; ulcer ; bleeding
Abstract
Cytomegalovirus (CMV) infections are commonly reported in severely immunocompromised hosts and ulcers of the alimentary tract are frequently observed in systemic CMV infections. However, invasive and ulcerative disease of the gastrointestinal (GI) tract caused by CMV has also been reported in healthy adults. Many reports show that a CMV infection can produce localized ulcerations in the esophagus, stomach, small intestine, and colon in nonimmunocompromised individuals. The most common site of involvement by CMV infection in the GI tract is the colon followed by the upper GI tract and the least common site is the small intestine. Although GI bleeding is one of the major presenting symptoms of patients with CMV infections of the GI tract, lower GI bleeding due to CMV ileal ulcers in immunocompetent patients, to our knowledge, has not been reported in the English literature. Recently, we experienced a case of lower GI bleeding due to CMV ileal ulcers in a 57-year-old man who had no evidence of immunocompromise. This case suggests that small intestinal ulcers due to CMV infection should be included in the differential diagnosis of lower GI bleeding even in immunocompetent hosts.
Files in This Item:
T200102554.pdf Download
DOI
10.3349/ymj.2001.42.1.147
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Park, Young Nyun(박영년) ORCID logo https://orcid.org/0000-0003-0357-7967
Park, Hyo Jin(박효진) ORCID logo https://orcid.org/0000-0003-4814-8330
Song, Young Goo(송영구) ORCID logo https://orcid.org/0000-0002-0733-4156
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/142577
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