Synchronous cytomegalovirus infection in a newly diagnosed ulcerative colitis patient
A 61-year-old Punjabi female patient presented with six months history of mild abdominal discomfort with bloody diarrhea. She did not have underlying chronic medical illness; she neither took steroid nor immunosuppressant. She was found anemic, thrombocytosis, and elevated C-reactive protein. Colono...
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2017
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my.upm.eprints.633492018-10-16T00:32:46Z http://psasir.upm.edu.my/id/eprint/63349/ Synchronous cytomegalovirus infection in a newly diagnosed ulcerative colitis patient Jin, Yu Chieng Sugumaran, Yasotha Adzman, Sellymiah Yan, Pan A 61-year-old Punjabi female patient presented with six months history of mild abdominal discomfort with bloody diarrhea. She did not have underlying chronic medical illness; she neither took steroid nor immunosuppressant. She was found anemic, thrombocytosis, and elevated C-reactive protein. Colonoscopy showed moderate left sided colitis, with histopathology evidence of ulcerative colitis (UC) with cytomegalovirus (CMV) infection. Her serum anti-CMV IgM antibody was detected. She was treated with intravenous ganciclovir, together with 5-ASA and tapering dose of steroid. Anemia was corrected. Subsequent clinic reviews and follow up endoscopies showed dramatically improvement. CMV colitis should be considered for the patients presenting with moderate to severe UC. Early prescription of antiviral would be beneficial in the treatment of flare of UC. PAGEPress Publications 2017 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/63349/1/Synchronous%20cytomegalovirus%20infection%20in%20a%20newly%20diagnosed%20ulcerative%20colitis%20patient.pdf Jin, Yu Chieng and Sugumaran, Yasotha and Adzman, Sellymiah and Yan, Pan (2017) Synchronous cytomegalovirus infection in a newly diagnosed ulcerative colitis patient. Gastroenterology Insights, 8 (1). 49 - 50. ISSN ISSN: 2036-7414; ESSN: 2036-7422 https://www.pagepress.org/journals/index.php/gi/article/view/6886 10.4081/gi.2017.6886 |
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A 61-year-old Punjabi female patient presented with six months history of mild abdominal discomfort with bloody diarrhea. She did not have underlying chronic medical illness; she neither took steroid nor immunosuppressant. She was found anemic, thrombocytosis, and elevated C-reactive protein. Colonoscopy showed moderate left sided colitis, with histopathology evidence of ulcerative colitis (UC) with cytomegalovirus (CMV) infection. Her serum anti-CMV IgM antibody was detected. She was treated with intravenous ganciclovir, together with 5-ASA and tapering dose of steroid. Anemia was corrected. Subsequent clinic reviews and follow up endoscopies showed dramatically improvement. CMV colitis should be considered for the patients presenting with moderate to severe UC. Early prescription of antiviral would be beneficial in the treatment of flare of UC. |
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Article |
author |
Jin, Yu Chieng Sugumaran, Yasotha Adzman, Sellymiah Yan, Pan |
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Jin, Yu Chieng Sugumaran, Yasotha Adzman, Sellymiah Yan, Pan Synchronous cytomegalovirus infection in a newly diagnosed ulcerative colitis patient |
author_facet |
Jin, Yu Chieng Sugumaran, Yasotha Adzman, Sellymiah Yan, Pan |
author_sort |
Jin, Yu Chieng |
title |
Synchronous cytomegalovirus infection in a newly diagnosed ulcerative colitis patient |
title_short |
Synchronous cytomegalovirus infection in a newly diagnosed ulcerative colitis patient |
title_full |
Synchronous cytomegalovirus infection in a newly diagnosed ulcerative colitis patient |
title_fullStr |
Synchronous cytomegalovirus infection in a newly diagnosed ulcerative colitis patient |
title_full_unstemmed |
Synchronous cytomegalovirus infection in a newly diagnosed ulcerative colitis patient |
title_sort |
synchronous cytomegalovirus infection in a newly diagnosed ulcerative colitis patient |
publisher |
PAGEPress Publications |
publishDate |
2017 |
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http://psasir.upm.edu.my/id/eprint/63349/1/Synchronous%20cytomegalovirus%20infection%20in%20a%20newly%20diagnosed%20ulcerative%20colitis%20patient.pdf http://psasir.upm.edu.my/id/eprint/63349/ https://www.pagepress.org/journals/index.php/gi/article/view/6886 |
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