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Cytomegalovirus infection of the colon presenting as a mass-like lesion.

Tan CB, Vardaros M, Prasad A, Rashid S, Dahl K, Moise D, Gebre W, Rizvon K, Mustacchia P - Case Rep Gastroenterol (2012)

Bottom Line: CMV rarely presents as an intraluminal inflammatory mass in the colon.Here we report the case of a CMV infection presenting as a mass-like lesion in an AIDS patient.Endoscopic procedures are encouraged early in the course of CMV infection in immunocompromised patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, Nassau University Medical Center, East Meadow, N.Y., USA.

ABSTRACT
Cytomegalovirus (CMV) is responsible for the most common opportunistic infections in patients with acquired immunodeficiency syndrome (AIDS). The colon is a common site for these infections in patients positive for human immunodeficiency virus. CMV rarely presents as an intraluminal inflammatory mass in the colon. Here we report the case of a CMV infection presenting as a mass-like lesion in an AIDS patient. The clinical diagnosis of CMV infection is largely based on the characteristic endoscopic appearance. Endoscopic procedures are encouraged early in the course of CMV infection in immunocompromised patients. CMV pseudotumors along with malignancy should be part of the endoscopic evaluation in patients with AIDS.

No MeSH data available.


Related in: MedlinePlus

Fig. 5. Follow-up colonoscopy. Note the complete resolution of the mass at the ileocecal junction.
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Figure 5: Fig. 5. Follow-up colonoscopy. Note the complete resolution of the mass at the ileocecal junction.

Mentions: The patient was started on HAART treatment from which he developed an immune reconstitution inflammatory syndrome against the CMV virus with a subsequent increase of the CD4 count to 284/mm3 and a reduction of the viral load to <48 copies/ml. A repeat CT scan and follow-up colonoscopy weeks later did not reveal any colonic mass (fig. 5).


Cytomegalovirus infection of the colon presenting as a mass-like lesion.

Tan CB, Vardaros M, Prasad A, Rashid S, Dahl K, Moise D, Gebre W, Rizvon K, Mustacchia P - Case Rep Gastroenterol (2012)

Fig. 5. Follow-up colonoscopy. Note the complete resolution of the mass at the ileocecal junction.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3369417&req=5

Figure 5: Fig. 5. Follow-up colonoscopy. Note the complete resolution of the mass at the ileocecal junction.
Mentions: The patient was started on HAART treatment from which he developed an immune reconstitution inflammatory syndrome against the CMV virus with a subsequent increase of the CD4 count to 284/mm3 and a reduction of the viral load to <48 copies/ml. A repeat CT scan and follow-up colonoscopy weeks later did not reveal any colonic mass (fig. 5).

Bottom Line: CMV rarely presents as an intraluminal inflammatory mass in the colon.Here we report the case of a CMV infection presenting as a mass-like lesion in an AIDS patient.Endoscopic procedures are encouraged early in the course of CMV infection in immunocompromised patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, Nassau University Medical Center, East Meadow, N.Y., USA.

ABSTRACT
Cytomegalovirus (CMV) is responsible for the most common opportunistic infections in patients with acquired immunodeficiency syndrome (AIDS). The colon is a common site for these infections in patients positive for human immunodeficiency virus. CMV rarely presents as an intraluminal inflammatory mass in the colon. Here we report the case of a CMV infection presenting as a mass-like lesion in an AIDS patient. The clinical diagnosis of CMV infection is largely based on the characteristic endoscopic appearance. Endoscopic procedures are encouraged early in the course of CMV infection in immunocompromised patients. CMV pseudotumors along with malignancy should be part of the endoscopic evaluation in patients with AIDS.

No MeSH data available.


Related in: MedlinePlus