Open AccessCytomegalovirus colitis seems to be colon cancer. HIV debut.
Author(s) -
María de Armas Conde,
Moisés Hernández Barroso,
Luis Eduardo Pérez Sánchez,
Guillermo Hernández,
Nélida Díaz Jiménez,
Manuel Ángel Barrera Gómez
Publication year - 2022
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2022.8699/2022
Subject(s) - medicine , colonoscopy , colitis , ganciclovir , colorectal cancer , cytomegalovirus infection , cytomegalovirus , ulcerative colitis , gastroenterology , human immunodeficiency virus (hiv) , cancer , viral disease , immunology , disease , human cytomegalovirus , virus , herpesviridae
Cytomegalovirus (CMV) infection is very common in immunosuppressed patients. It can y puede afectar a todo el tracto gastrointestinal, presentándose como úlceras o pseudotumores. A 43-year-old male with no personal background of interest, was studied due to constitutional syndrome. The diagnosis was neoplasia of the right colon, reported by colonoscopy and CT scan. A right hemicolectomy was performed with oncologic character. The definitive histology was CMV infectious colitis with positive immunohistochemical staining. Treatment with ganciclovir was started and the patient was diagnosed with HIV infection. The unusual finding of CMV infection as a pseudotumor can simulate, clinically and radiologically, a colonic neoplasm. It has been described in the literature in patients immunocompromised by HIV; however, the absence of risk factors means that it can be confused with a primary neoformative process.