A Case of Cytomegalovirus Colitis Associated with Acquired Immunodeficiency Syndrome

Abstract

A 22-year-old homosexual male was admitted becuse of positive HIV. Colonoscopy was performed becouse of persistent diarrhea On the 39 days after. A punched-out ulcer was detected on ileocecal valve. Biopsy specimens showed inclusion bodies, furthermore it was positive by immunological stain for CMV antigen by immunological stain. CMV colitis was diagnosed and he was started Ganciclovir therapy. On the 84 days Follow-up colonoscopic examination showed ulcer scar on the ileocecal valve after 45 days treatment.
It has been reported for CMV infection of gastrointestinal tract is commonly seen with AIDS. It is important to perform endoscopic examination for prompt diagnosis of CMV infection.