Large bowel perforation secondary to CMV colitis: an unusual primary presentation of HIV infection

BMJ Case Rep. 2016 Dec 21:2016:bcr2016217221. doi: 10.1136/bcr-2016-217221.

Abstract

We report a case of HIV-associated Cytomegalovirus colitis complicated by large bowel perforation. A 62-year-old man of same-sex relationship was not known to have HIV, but a diagnosis of inflammatory bowel disease was made early in his admission, with steroid treatment initiated. He was later confirmed to be HIV positive, and found to have multiple microperforations of the bowel necessitating ileocecectomy and Hartmann's procedures.

Publication types

  • Case Reports
  • Review

MeSH terms

  • AIDS-Related Opportunistic Infections / complications
  • AIDS-Related Opportunistic Infections / diagnosis*
  • Colitis, Ulcerative / surgery
  • Colitis, Ulcerative / virology*
  • Cytomegalovirus Infections / complications
  • Cytomegalovirus Infections / diagnosis*
  • Delayed Diagnosis
  • Diagnosis, Differential
  • Emphysema / diagnosis
  • HIV Seropositivity / diagnosis
  • Homosexuality, Male
  • Humans
  • Intestinal Perforation / surgery
  • Intestinal Perforation / virology*
  • Male
  • Middle Aged
  • Sigmoid Diseases / diagnosis
  • Sigmoid Diseases / virology
  • Sigmoidoscopy
  • Tomography, X-Ray Computed