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Pseudoneoplastic Appearance of Cytomegalovirus-Associated Colitis in Nonimmunocompromised Patients: Report of 2 Cases
Author(s) -
Antonino Maiorana,
Pietro Torricelli,
Francesca Giusti,
N Bellini
Publication year - 2003
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/375876
Subject(s) - medicine , colonoscopy , granulation tissue , cytomegalovirus , colitis , pathology , diarrhea , colectomy , human cytomegalovirus , abdominal pain , lesion , virus , viral disease , immunology , herpesviridae , gastroenterology , ulcerative colitis , wound healing , colorectal cancer , disease , cancer
Two cases of human cytomegalovirus (HCMV) colitis with pseudoneoplastic appearance are described. Patients presented with abdominal pain, fever, and diarrhea. Colonoscopy revealed a stenosing lesion in one patient and a broad-based, vegetant mass in the other patient, and histopathological examination of colectomy specimens revealed exuberant inflammatory masses with infiltration of mononuclear cells and ulcers with granulation tissue. Typical intranuclear HCMV inclusions were numerous. Peculiar to both patients was the lack of any apparent causes of immunodeficiency, such as human immunodeficiency virus infection or previous organ transplantation.

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