Colitis por citomegalovirus en paciente anciano inmunocompetente

García-Tercero, Elisa; Alonso-Seco, María; Pedro-Monfort, Clara; Fernández-Sotos, Patricia; Cobos-Antoranz, Beatriz; Rosado-Artalejo, Cristina; Martín-Correa, Esperanza

doi:10.1016/j.regg.2019.04.009

Cited by 1 publication

(1 citation statement)

References 6 publications

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“…Among those, only six patients had no reported comorbidities, the remaining 14 had underlying conditions, with hypertension (40%); diabetes mellitus (30%) and chronic renal failure (15%) the most frequent. These findings are consistent with other studies such as the extensive literature review made by Karigane et al, where from all the 33 cases of CMV enteritis or colitis identified the mean age was 68 years old and the meta-analysis performed by Galiatsatos et al where from the all the 44 immunocompetent patients diagnosed with CMV colitis, only 10 had no associated co-morbid conditions [6,8,13,15,16]. Also, a recent study that compared CMV colitis in immunocompromised versus immunocompetent patients found that in the immunocompetent group the patients were older, had more comorbidities and were in worse general condition [17].…”

Section: Discussionsupporting

confidence: 90%

The Overlooked Agent: Cytomegalovirus Colitis in an Immunocompetent Patient

Lagarto¹,

Santos²,

Freitas³

et al. 2023

Cureus

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Cytomegalovirus (CMV) colitis is usually associated with immunosuppressed patients, which by the classic definition are individuals who have immunosuppressed associated conditions (human immunodeficiency virus [HIV], oncology diseases, inflammatory bowel disease, transplant patients) or who are submitted to immunosuppressing therapies (for instance, corticosteroids, chemotherapeutic agents or immunomodulation therapies). In immunocompetent patients, this diagnosis tends to be often missed, leading to a delay in initiating proper management. We present a case of a 91-year-old woman that was diagnosed with CMV colitis without any identified formal immunocompromising factors.We intend to highlight the need to review the definition of an immunosuppressed individual and emphasize that CMV colitis should be considered in the differential diagnosis, especially in elderly patients and those with underlying conditions that can possibly affect their immune status, since prompt diagnosis and treatment are essential and influence the prognosis.

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