In:
Gastroenterology Insights, MDPI AG, Vol. 8, No. 1 ( 2017-12-13)
Abstract:
A 61-year-old Punjabi female patient presented with six months history of mild abdominal discomfort with bloody diarrhea. She did not have underlying chronic medical illness; she neither took steroid nor immunosuppressant. She was found anemic, thrombocytosis, and elevated C-reactive protein. Colonoscopy showed moderate left sided colitis, with histopathology evidence of ulcerative colitis (UC) with cytomegalovirus (CMV) infection. Her serum anti-CMV IgM antibody was detected. She was treated with intravenous ganciclovir, together with 5-ASA and tapering dose of steroid. Anemia was corrected. Subsequent clinic reviews and follow up endoscopies showed dramatically improvement. CMV colitis should be considered for the patients presenting with moderate to severe UC. Early prescription of antiviral would be beneficial in the treatment of flare of UC.
Type of Medium:
Online Resource
ISSN:
2036-7422
,
2036-7414
DOI:
10.4081/gi.2017.6886
Language:
Unknown
Publisher:
MDPI AG
Publication Date:
2017
detail.hit.zdb_id:
2569126-0
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