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KMID : 0988920160140020187
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Intestinal Research
2016 Volume.14 No. 2 p.187 ~ p.190
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Pulmonary embolism in an immunocompetent patient with acute cytomegalovirus colitis
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Jen-Wei Chou
Ken-Sheng Cheng
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Abstract
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Acute cytomegalovirus (CMV) infection occurs commonly in immunocompromised and immunocompetent patients, but is usually asymptomatic in the latter. Vascular events associated with acute CMV infection have been described, but are rare. Hence, such events are rarely reported in the literature. We report a case of pulmonary embolism secondary to acute CMV colitis in an immunocompetent 78-year-old man. The patient presented with fever and diarrhea. Colonic ulcers were diagnosed based on colonoscopy findings, and CMV was the proven etiology on pathological examination. The patient subsequently experienced acute respiratory failure. Pulmonary embolism was diagnosed based on the chest radiography and computed tomography findings. A diagnosis of acute CMV colitis complicated by pulmonary embolism was made. The patient was successfully treated with intravenous administration of unfractionated heparin and intravenous ganciclovir. (Intest Res 2016;14:187-190)
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KEYWORD
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Cytomegalovirus colitis, Immunocompetent, Pulmonary embolism, Vascular thrombosis
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