Document 0344
 DOCN  M9650344
 TI    Cytomegalovirus colitis mimicking colon carcinoma in an HIV-negative
       patient with chronic renal failure.
 DT    9605
 AU    Falagas ME; Griffiths J; Prekezes J; Worthington M; Department of
       Medicine, St. Elizabeth's Medical Center at Boston,; Massachusetts
       02135, USA.
 SO    Am J Gastroenterol. 1996 Jan;91(1):168-9. Unique Identifier : AIDSLINE
       MED/96145310
 AB    Cytomegalovirus (CMV) colitis is thought to occur almost exclusively in
       immunosuppressed persons. Colonoscopy in patients with CMV colitis
       usually shows diffuse or localized ulceration, although mucosal
       friability, erosions, hemorrhage, and plaque-like pseudomembranes may be
       observed. We report on a patient with chronic renal failure undergoing
       hemodialysis therapy who had abdominal symptoms, including bloody
       diarrhea, along with colonoscopic findings suggestive of carcinoma of
       the colon. The patient was not infected with the human immunodeficiency
       virus and had normal lymphocyte subset numbers. He was subsequently
       found to have invasive CMV disease of the colon. CMV colitis can occur
       in persons who are not severely immunosuppressed, and its colonoscopic
       appearance may mimic that of colon cancer.
 DE    Carcinoma/*DIAGNOSIS  Case Report  Colitis/*DIAGNOSIS/ETIOLOGY  Colonic
       Neoplasms/*DIAGNOSIS  Colonoscopy  Cytomegalovirus
       Infections/*DIAGNOSIS/ETIOLOGY  Diagnosis, Differential  Human  *HIV
       Seronegativity  Kidney Failure, Chronic/*COMPLICATIONS  Male  Middle Age
       JOURNAL ARTICLE  REVIEW  REVIEW OF REPORTED CASES

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