Severe cytomegalovirus colitis with hemolytic anemia mimicking travelers' diarrhea

Nakyoung Hwang; Eun Heui Kim; Sung Yong Han; Shinwon Lee; Su Jin Lee; Sun Hee Lee; Chungsu Hwang; Chang Hun Lee; Jongyoun Yi; Kye-Hyung Kim

doi:10.1016/j.ijid.2015.06.022

Severe cytomegalovirus colitis with hemolytic anemia mimicking travelers' diarrhea

Int J Infect Dis. 2015 Aug:37:104-6. doi: 10.1016/j.ijid.2015.06.022. Epub 2015 Jun 30.

Authors

Affiliations

¹ Department of Internal Medicine, Pusan National University School of Medicine, 179 Gudeok-ro, Seo-gu, Busan, 602-739, South Korea.
² Department of Pathology, Pusan National University School of Medicine, Busan, South Korea.
³ Department of Laboratory Medicine, Pusan National University School of Medicine, Busan, South Korea; Medical Research Institute, Pusan National University Hospital, Busan, South Korea.
⁴ Department of Internal Medicine, Pusan National University School of Medicine, 179 Gudeok-ro, Seo-gu, Busan, 602-739, South Korea; Medical Research Institute, Pusan National University Hospital, Busan, South Korea. Electronic address: kyehyungs@gmail.com.

PMID: 26141417
DOI: 10.1016/j.ijid.2015.06.022

Abstract

A case of cytomegalovirus (CMV) colitis mimicking travelers' diarrhea following short-term travel is reported. The patient was a Croatian man visiting Korea for work. He presented with fever and severe bloody diarrhea. He was diagnosed with a primary CMV infection complicated with CMV colitis and hemolytic anemia and recovered with antiviral therapy and concomitant steroid therapy.

Keywords: Anemia; Cytomegalovirus infection; Diarrhea; Hemolytic.

Publication types

Case Reports

MeSH terms

Adult
Anemia, Hemolytic / complications
Anemia, Hemolytic / diagnosis*
Colitis / complications
Colitis / diagnosis*
Colitis / pathology
Cytomegalovirus Infections / complications
Cytomegalovirus Infections / diagnosis*
Cytomegalovirus Infections / pathology
Diagnosis, Differential
Diarrhea / complications
Diarrhea / diagnosis*
Humans
Male
Republic of Korea
Travel