Year 2025 / Volume 117 / Number 12
Letter
Cytomegalovirus ileitis in a patient with acquired immunodeficiency syndrome (AIDS): survival with surgical management

809

DOI: 10.17235/reed.2024.10762/2024

Diego Ruedi, Alexandra Ginesta, Alejandra Gallardo, Antonio Rollán, Roque Saenz, Rossana Telleri, Ernesto Melkonian,

Abstract
We report a case of a 48-year-old male with HIV and poor adherence to antiretroviral therapy, presenting with two months of abdominal pain and diarrhea. His latest CD4 count was 11/µL. Imaging and biopsy confirmed CMV enteritis with ulcerated lesions in the distal ileum. Despite prolonged antiviral therapy with ganciclovir and foscarnet, the patient’s condition remained refractory, necessitating ileocaecal resection and ileostomy, followed by further resection and anastomosis. Post-surgery, the patient recovered well and was discharged. This case underscores the potential benefit of surgical intervention in CMV enteritis unresponsive to medical treatment in HIV patients.
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References
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2. Kram HB, Shoemaker WC. Intestinal perforation due to cytomegalovirus infection in patients with AIDS. Dis Colon Rectum 1990;33:1037–1040.
3. Meza AD, Bin-Sagheer S, Zuckerman MJ, Morales CA, Verghese A. Ileal perforation due to cytomegalovirus infection. J Natl Med Assoc. 1994 Feb;86(2):145-8. PMID: 8169991; PMCID: PMC2568165.
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Citation tools
Ruedi D, Ginesta A, Gallardo A, Rollán A, Saenz R, Telleri R, et all. Cytomegalovirus ileitis in a patient with acquired immunodeficiency syndrome (AIDS): survival with surgical management. 10762/2024


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Publication history

Received: 04/09/2024

Accepted: 12/09/2024

Online First: 19/09/2024

Published: 12/12/2025

Article Online First time: 15 days

Article editing time: 464 days


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