Cytomegalovirus Colitis Mimicking Rectal Tumour in an Undiagnosed HIV Patient
| Autor: | Sara Santos, Verónica Borges, Guilherme Simões, Manuel Coelho da Rocha, Verónica Gamelas, Carlos Bernardes |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
CMV Colitis Human immunodeficiency virus (HIV) Congenital cytomegalovirus infection Cytomegalovirus colitis medicine.disease_cause Gastroenterology Internal medicine medicine Rectal tumour HIV Infection lcsh:RC799-869 Colitis General Environmental Science hiv infection business.industry Coinfection cmv colitis medicine.disease coinfection Clinical Case Study CHLC GAS rectal tumour General Earth and Planetary Sciences Immunohistochemistry lcsh:Diseases of the digestive system. Gastroenterology Presentation (obstetrics) business Rectal Tumour |
| Zdroj: | GE Port J Gastroenterol GE: Portuguese Journal of Gastroenterology, Pp 1-4 (2020) GE-Portuguese Journal of Gastroenterology v.27 n.5 2020 Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação instacron:RCAAP |
| Popis: | Introduction: Cytomegalovirus (CMV) is the most common opportunistic agent in HIV-infected patients. It can affect the entire gastrointestinal tract, but frequently involves the oesophagus and the colon. Case Report: We report the case of a 70-year-old female, ultimately diagnosed with HIV infection, whose inaugural clinical manifestation was CMV colitis with endoscopic findings resembling a rectal tumour in which initial histological evaluation was not able to provide a proper diagnosis. Discussion/Conclusion: Since clinical presentation is variable and histopathological yield without immunohistochemical analysis is poor, recognizing CMV infection in the absence of known risk factors may be difficult. It is crucial to consider this entity with suspicious lesions or when initial evaluation, either clinical or histopathological, is inconclusive, thus avoiding potentially debilitating and superfluous treatment or life-threatening complications. |
| Databáze: | OpenAIRE |
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