26.03.2020 | Case Report
CMV-Induced Severe Colonic Stricture in an Adult Crohn’s Disease Patient
verfasst von:
Eva Niv, Baruch Ovadia, Gabriel Groisman, Yael Kopelman
Erschienen in:
Digestive Diseases and Sciences
|
Ausgabe 2/2021
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Excerpt
Cytomegalovirus (CMV) infection colitis is a known complication in patients with inflammatory bowel disease (IBD), especially those on immunosuppressive treatment [
1‐
7]. This complication is associated with an increased mortality [
4,
5]. In most cases, CMV colitis resembles an exacerbation of IBD colitis, represented by bloody diarrhea, abdominal pain and fever. Usually colonoscopy reveals a severe colitis, very similar to ulcerative colitis (UC). Only biopsies may distinguish between IBD exacerbation and a combination of IBD and CMV coinfection. Colonic strictures as a presentation of CMV infection are uncommon. There are some case reports in the pediatric population [
8‐
10]. However, in adult IBD patients this presentation of CMV is extremely rare. This case report presents a very interesting case of severe colonic strictures due to CMV infection in an adult Crohn’s disease (CD) patient. …
