Severe Proctitis, Perforation, and Fatal Rectal Bleeding Secondary to Cytomegalovirus in an Immunocompetent Patient: Report of a Case.

Autor:	Imran Alam, Divina Shanoon, Ali Alhamdani, A. Boyd, A.P. Griffiths, J.N. Baxter
Předmět:	CYTOMEGALOVIRUS diseases DISEASES MORTALITY ACUTE kidney failure ADULT respiratory distress syndrome SIGMOIDOSCOPY ISCHEMIA
Zdroj:	Surgery Today; Jan2007, Vol. 37 Issue 1, p66-69, 4p
Abstrakt:	Abstract??Cytomegalovirus (CMV) infection is associated with significant morbidity and mortality in immunocompromised patients. In immunocompetent individuals, the infection is usually subclinical but it can sometimes be life threatening. We describe a case of fatal CMV proctitis in a 71-year-old man following an Ivor?Lewis esophagectomy. After surgery he developed renal failure, methicillin-resistantStaphylococcus aureuspneumonia, and acute respiratory distress syndrome. He recovered but developed melena and massive fresh rectal bleeding. Sigmoidoscopy revealed severe proctitis and a biopsy was consistent with ischemia. Despite undergoing a proctectomy he continued to bleed and died despite every effort. The final histological examination of the rectum revealed a CMV infection. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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