Cytomegalovirus Colitis Mimicking Ulcerative Colitis Flare in an Immunocompromised Patient: A Challenging Diagnosis.
| Autor: | Khan AM; Internal Medicine, Sahiwal Medical College, Sahiwal, PAK., Ehtisham A; Internal Medicine, Sahiwal Medical College, Sahiwal, PAK., Choudhary HH; Internal Medicine, Sahiwal Medical College, Sahiwal, PAK. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Oct 08; Vol. 16 (10), pp. e71099. Date of Electronic Publication: 2024 Oct 08 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.71099 |
| Abstrakt: | This case report details a 40-year-old male patient with a background of ulcerative colitis (UC), who presented with persistent bloody diarrhea refractory to standard treatment. The clinical picture was initially suggestive of a UC flare-up, prompting the continued use of immunosuppressive therapy. However, histopathological evaluation ultimately revealed cytomegalovirus (CMV) colitis, a condition that can mimic UC exacerbation but requires a distinct treatment approach. The patient's immunosuppressive therapy, essential for UC management, likely contributed to the reactivation of latent CMV infection, underscoring the complexity of managing such cases. This case underscores the critical importance of a multidisciplinary approach in differentiating between UC exacerbation and opportunistic infections such as CMV colitis, especially in immunocompromised patients. Competing Interests: Human subjects: All authors have confirmed that this study did not involve human participants or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Khan et al.) |
| Databáze: | MEDLINE |
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