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Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 1994 Feb;86(2):145–148.

Ileal perforation due to cytomegalovirus infection.

A D Meza 1, S Bin-Sagheer 1, M J Zuckerman 1, C A Morales 1, A Verghese 1
PMCID: PMC2568165  PMID: 8169991

Abstract

This article reports a case of cytomegalovirus (CMV) ileitis with perforation in a woman with transfusion-acquired human immunodeficiency virus (HIV) infection. The clinical problem of small bowel perforation due to CMV disease in association with HIV infection is emphasized. Typically, a patient with a history of chronic diarrhea, fever, and abdominal pain develops the superimposed picture of an acute abdomen and has pneumoperitonium on radiograph. The prognosis is poor.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adler S. P. Transfusion-associated cytomegalovirus infections. Rev Infect Dis. 1983 Nov-Dec;5(6):977–993. doi: 10.1093/clinids/5.6.977. [DOI] [PubMed] [Google Scholar]
  2. Chachoua A., Dieterich D., Krasinski K., Greene J., Laubenstein L., Wernz J., Buhles W., Koretz S. 9-(1,3-Dihydroxy-2-propoxymethyl)guanine (ganciclovir) in the treatment of cytomegalovirus gastrointestinal disease with the acquired immunodeficiency syndrome. Ann Intern Med. 1987 Aug;107(2):133–137. doi: 10.7326/0003-4819-107-2-133. [DOI] [PubMed] [Google Scholar]
  3. Culpepper-Morgan J. A., Kotler D. P., Scholes J. V., Tierney A. R. Evaluation of diagnostic criteria for mucosal cytomegalic inclusion disease in the acquired immune deficiency syndrome. Am J Gastroenterol. 1987 Dec;82(12):1264–1270. [PubMed] [Google Scholar]
  4. DeRiso A. J., 2nd, Kemeny M. M., Torres R. A., Oliver J. M. Multiple jejunal perforations secondary to cytomegalovirus in a patient with acquired immune deficiency syndrome. Case report and review. Dig Dis Sci. 1989 Apr;34(4):623–629. doi: 10.1007/BF01536342. [DOI] [PubMed] [Google Scholar]
  5. Fernandes B., Brunton J., Koven I. Ileal perforation due to cytomegaloviral enteritis. Can J Surg. 1986 Nov;29(6):453–456. [PubMed] [Google Scholar]
  6. Francis N. D., Boylston A. W., Roberts A. H., Parkin J. M., Pinching A. J. Cytomegalovirus infection in gastrointestinal tracts of patients infected with HIV-1 or AIDS. J Clin Pathol. 1989 Oct;42(10):1055–1064. doi: 10.1136/jcp.42.10.1055. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Frank D., Raicht R. F. Intestinal perforation associated with cytomegalovirus infection in patients with acquired immune deficiency syndrome. Am J Gastroenterol. 1984 Mar;79(3):201–205. [PubMed] [Google Scholar]
  8. Freedman P. G., Weiner B. C., Balthazar E. J. Cytomegalovirus esophagogastritis in a patient with acquired immunodeficiency syndrome. Am J Gastroenterol. 1985 Jun;80(6):434–437. [PubMed] [Google Scholar]
  9. Hinnant K. L., Rotterdam H. Z., Bell E. T., Tapper M. L. Cytomegalovirus infection of the alimentary tract: a clinicopathological correlation. Am J Gastroenterol. 1986 Oct;81(10):944–950. [PubMed] [Google Scholar]
  10. Houin H. P., Gruenberg J. C., Fisher E. J., Mezger E. Multiple small bowel perforations secondary to cytomegalovirus in a patient with acquired immunodeficiency syndrome. Henry Ford Hosp Med J. 1987;35(1):17–19. [PubMed] [Google Scholar]
  11. Jacobson M. A., Mills J. Serious cytomegalovirus disease in the acquired immunodeficiency syndrome (AIDS). Clinical findings, diagnosis, and treatment. Ann Intern Med. 1988 Apr;108(4):585–594. doi: 10.7326/0003-4819-108-4-585. [DOI] [PubMed] [Google Scholar]
  12. Kram H. B., Hino S. T., Cohen R. E., DeSantis S. A., Shoemaker W. C. Spontaneous colonic perforation secondary to cytomegalovirus in a patient with acquired immune deficiency syndrome. Crit Care Med. 1984 May;12(5):469–471. doi: 10.1097/00003246-198405000-00014. [DOI] [PubMed] [Google Scholar]
  13. Kram H. B., Shoemaker W. C. Intestinal perforation due to cytomegalovirus infection in patients with AIDS. Dis Colon Rectum. 1990 Dec;33(12):1037–1040. doi: 10.1007/BF02139220. [DOI] [PubMed] [Google Scholar]
  14. Tatum E. T., Sun P. C., Cohn D. L. Cytomegalovirus vasculitis and colon perforation in a patient with the acquired immunodeficiency syndrome. Pathology. 1989 Oct;21(4):235–238. doi: 10.3109/00313028909061066. [DOI] [PubMed] [Google Scholar]
  15. Teixidor H. S., Honig C. L., Norsoph E., Albert S., Mouradian J. A., Whalen J. P. Cytomegalovirus infection of the alimentary canal: radiologic findings with pathologic correlation. Radiology. 1987 May;163(2):317–323. doi: 10.1148/radiology.163.2.3031723. [DOI] [PubMed] [Google Scholar]
  16. Tucker R. M., Swanson S., Wenzel R. P. Cytomegalovirus and appendiceal perforation in a patient with acquired immunodeficiency syndrome. South Med J. 1989 Aug;82(8):1056–1057. doi: 10.1097/00007611-198908000-00033. [DOI] [PubMed] [Google Scholar]
  17. Wexner S. D., Smithy W. B., Trillo C., Hopkins B. S., Dailey T. H. Emergency colectomy for cytomegalovirus ileocolitis in patients with the acquired immune deficiency syndrome. Dis Colon Rectum. 1988 Oct;31(10):755–761. doi: 10.1007/BF02560100. [DOI] [PubMed] [Google Scholar]

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