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Canadian Journal of Infectious Diseases and Medical Microbiology
Volume 23 (2012), Issue 2, Pages e41-e43
http://dx.doi.org/10.1155/2012/314384
Case Report

Enterocolic Fistula: A Rare Presentation of Cytomegalovirus Infection

Richdeep S Gill,1 Geoffrey Taylor,2 Robert M Penner,2 and Sarvesh Logsetty3

1Department of Surgery, University of Alberta, Edmonton, Alberta, Canada
2Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
3Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada

Copyright © 2012 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

In the present report, the first reported case of cytomegalovirus (CMV)-associated enterocolic fistula in an HIV/AIDS patient is described. CMV colitis is the second most common presentation of CMV infection in immunocompromised patients. CMV-associated enteric fistulae are an exceedingly rare complication, with only four previous cases described: a gastrocolic, an enterocutaneous, a rectovaginal and a colocutaneous fistula. Management of these patient demonstrates the importance of treating the precipitating viral infection before considering surgical intervention of the enterocolic fistula.