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Canadian Journal of Gastroenterology
Volume 19 (2005), Issue 2, Pages 109-111
http://dx.doi.org/10.1155/2005/804139
Brief Communication

Cytomegalovirus Infection in a Patient with Crohn’s Ileocolitis

Sahin Coban,1 Arzu Ensari,2 Mehmet Ayhan Kuzu,3 Samet Yalcin,3 Murat Palabiyikoglu,1 and Necati Ormeci1

1Department of Gastroenterology, Ankara University Medical School, Ankara, Turkey
2Department of Pathology, Ankara University Medical School, Ankara, Turkey
3Department of General Surgery, Ankara University Medical School, Ankara, Turkey

Received 27 May 2004; Accepted 28 September 2004

Copyright © 2005 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cytomegaloviral enterocolitis is an uncommon infection that can complicate inflammatory bowel disease. A case of a patient with a three-year history of Crohn's disease is reported. He had been in a stable condition on mesalamine 4 g/day and methylprednisolone 10 mg/day for three years until four weeks before admission. The patient was admitted with complaints of fever, abdominal pain and watery diarrhea. A diagnosis of an exacerbation of Crohn's disease was established. The radiological examination revealed narrowing of the terminal ileum. Multiple fistulas and abscess-like images were observed. The patient then underwent ileocolic resection and ileostomy. The histopathological examination revealed Crohn's ileocolitis with superimposed cytomegalovirus infection. In patients with rapidly deteriorating inflammatory bowel disease, cytomegalovirus infection should be kept in mind as one of the differential diagnoses.