Difference between revisions of "CMV colitis"

(Differential Diagnosis)
 
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*Severe systemic illness is found in immunosuppressed hosts
 
*Severe systemic illness is found in immunosuppressed hosts
  
==Clinical Presentation==
+
==Clinical Features==
*Fever
+
*[[Fever]]
 
*Anorexia
 
*Anorexia
 
*Malaise
 
*Malaise
 +
*[[Abdominal pain]], Abdominal distention, [[constipation]]
 +
*[[Nausea/vomiting]]
 +
*Chronic watery [[diarrhea]]
 +
*[[rectal bleeding|Bloody diarrhea]]
 +
*Worsening symptoms of [[inflammatory bowel disease]]
 
*Weight loss
 
*Weight loss
*Dehydration
+
*[[Dehydration]]
*Abdominal pain
 
*Abdominal distention
 
*Nausea
 
*Vomiting
 
*Chronic watery diarrhea
 
*Bloody diarrhea
 
*Constipation
 
*Worsening symptoms of inflammatory bowel disease
 
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
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{{CMV types}}
 
{{CMV types}}
  
==Diagnosis==
+
==Evaluation==
  
 
==Management==
 
==Management==
 +
{{CMV colitis treatment}}
  
 
==Disposition==
 
==Disposition==
{{CMV colitis treatment}}
 
 
==See Also==
 
==See Also==
 
*[[Cytomegalovirus (CMV) infection]]
 
*[[Cytomegalovirus (CMV) infection]]

Latest revision as of 20:03, 29 September 2019

Background

  • CMV is part of the Herpesviridae family
  • 50-80% of the world's population is seropositive for CMV
  • Causes a mild or undetectable infection in immunocompetent hosts
  • Severe systemic illness is found in immunosuppressed hosts

Clinical Features

Differential Diagnosis

Colitis

CMV Diseases

Evaluation

Management

  • Ganciclovir 5mg/kg IV q12hrs x 21 days (or until resolution of symptoms)
  • Foscarnet 90mg/kg IV q12hrs daily x 21 days (or until resolution of symptoms)

Disposition

See Also

External Links

References