Severe proctitis, perforation, and fatal rectal bleeding secondary to cytomegalovirus in an immunocompetent patient: report of a case.

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-resistant Staphylococcus aureus pneumonia, 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.

journal_name

Surg Today

journal_title

Surgery today

authors

Alam I,Shanoon D,Alhamdani A,Boyd A,Griffiths AP,Baxter JN

doi

10.1007/s00595-006-3335-1

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

66-9

issue

1

eissn

0941-1291

issn

1436-2813

journal_volume

37

pub_type

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