A CASE OF CYTOMEGALOVIRUS COLITIS FOLLOWED BY ISCHEMIC COLITIS

Abstract

A 80-year-old woman was admitted to our hospital with the complaint of hematochezia. Although colonoscopic examination was planned, she showed fever up and felt sick during preparation for colonoscopy, so the examination had been put off. Two days later, colonoscopy showed ulcers spreading widely and annularly in the descending colon, therefore we diagnosed her as severe ischemic colitis caused by preparation of colonoscopy. Her symptoms as for diarrhea and fever up had continued during total parenteral nutrition. Colonoscopy performed after one month' conservative therapy showed little healing tendency of the ulcers and the biopsy specimen from the bed of ulcers showed inclusion bodies in the cell nuclei. Under the diagnosis of cytomegalovirus infection followed by severe ischemic colitis, we administered ganciclovir to her. After the treatment, her symptoms have improved and she has got to be able to inject meal orally.