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Case Reports
. 2012 Aug;33(8):e44-6.
doi: 10.1016/j.revmed.2012.04.003. Epub 2012 May 3.

[Cytomegalovirus ileitis in a non-immunocompromised old patient: a case report]

[Article in French]
S Perrin  1 , A Putot, H Guépet-Sordet, S Da Silva, S Somana, P Manckoundia
Affiliations
Case Reports

[Cytomegalovirus ileitis in a non-immunocompromised old patient: a case report]

[Article in French]
S Perrin et al. Rev Med Interne. 2012 Aug.

Abstract

Introduction: Cytomegalovirus ileitis occurs rarely in immunocompetent subjects.

Case report: An 88-year-old woman presented with severe pain located in right iliac fossa. Biological tests showed an increase in C-reactive protein and neutrophils. Colonoscopy revealed a severely ulcerated and inflamed terminal ileal mucosa. Histopathological analysis of biopsies showed a typical cytopathic effect with ballooned cells and intranuclear inclusions, confirmed by positive immunological marking with anti-cytomegalovirus antibodies. Cytomegalovirus polymerase chain reaction in the plasma showed positive activity. The patient was successfully treated with valganciclovir.

Conclusion: The predominant or isolated ileal location of cytomegalovirus infection should be known, especially in the elderly because aging could be a risk factor.

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