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Medline ® Abstract for Reference 58

of 'Epidemiology, clinical manifestations, and treatment of cytomegalovirus infection in immunocompetent adults'

Cytomegalovirus-induced colonic stricture presenting as acute intestinal obstruction in an immunocompetent adult.
Dinesh BV, Selvaraju K, Kumar S, Thota S
BMJ Case Rep. 2013;2013 Epub 2013 Sep 10.
Cytomegalovirus (CMV) infection causes significant morbidty and mortality in immunopromised patients. Though it is usually silent in immunocompetent adults, rarely it can cause serious life-threatening complications. Gastrointestinal tract is one of the commonly involved organs, where it produces a spectrum of clinical manifestation ranging from mild non-specific abdominal pain and diarrhoea to severe infection with toxic megacolon and death. We present a 65-year-old immunocompetent male patient admitted with acute colonic obstruction secondary to CMV-induced colonic stricture, highlighting the importance of considering it as a differential diagnosis for colonic obstruction and reviewing its management.
Department of General Surgery, Kasturba Medical College, Manipal, Karnataka, India.