Abstract
Cytomegalovirus enteritis in a healthy subject with no particular background was experienced. This case was a 35-year-old man. He consulted our clinic due to lower abdominal pain, watery diarrhea and bloody stools. By endoscopic exmination of the lower part of the digestive tract, red dish erosions were found in the ileal end. A biopsy specimen collected there showed intranuclear inclusion bodies and was stained positive with anticytomegalovirus antibody. Infection with cytomegalovirus (CMV) has been attracting attention as complication easily occurring during chemotherapy for malignant diseases, after organ transplantation, and the case of acquired immunodeficency syndrome (AIDS). Recently, however, the occurrence of this disease in healhy subjects has been reported. We report our experience of a case of CMV enteritis which was the 8th case in Japan since 1990. Our patient's course was uneventful with out treatment and he returned to his normal level of activity soon. But in other cases, prognoses were usually poor. CMV enteritis occurs in healthy subjects on occasion, the diagnosis may be delayed at the time of onset, and serious systemic CMV infection may occur in many cases. Therefore, this disease should be taken into account in diffrential diagnosis of enteritis with unknown cause.
