2016 Volume 58 Issue 10 Pages 2161-2168
Most cases of ulcerative colitis (UC)-complicated cytomegalovirus (CMV) infection occur in patients who have been treated with steroids and/or immunosuppressants. However, we experienced two UC patients who developed CMV infection in the absence of a history of steroid and immunosuppressant therapy. Both patients were over the age of 65 years. Colonoscopy showed only redness, edema, and erosion. These findings did not suggest CMV enterocolitis, but that CMV had been reactivated. Even though we did not observe the typical endoscopic image of CMV enteritis, we suspected CMV reactivation in primary and recurrence of the elderly UC patients. Furthermore, when we diagnose elderly UC patients with CMV reactivation, treatment that does not include steroids should be considered.
