CMV Colitis in Immunocompetent Patients: 2 Cases of a Diagnostic Challenge.
Case Rep Gastrointest Med. 2016;2016:4035637.
Paparoupa M1, Schmidt V1, Weckauf H2, Ho H1, Schuppert F1.
1Department of Gastroenterology, Endocrinology, Diabetology and General Medicine, Klinikum Kassel, Mönchebergstraße 41-43, 34125 Kassel, Germany.
2Institute of Pathology, Klinikum Kassel, Mönchebergstraße 41-43, 34125 Kassel, Germany.
CMV infections are generally thought to be opportunistic by immunosuppression. Many literature cases though indicate that CMV infections can be also observed in immunocompetent patients. We present an unusual case of an extensive concentric benign stenosis due to CMV colitis and a case of coexistence with Crohn’s Disease, both observed in nonimmunosuppressed individuals. The right diagnosis was set after implementation of multiple unsuccessful treatment strategies. Our purpose is therefore to familiarize clinicians involved with the diagnosis and treatment of gastroenterological diseases with this entity.