Difference between revisions of "CMV colitis"

(Background)
(Differential Diagnosis)
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==Differential Diagnosis==
 
==Differential Diagnosis==
 +
*Bacterial Gastroenteritis
 +
*Campylobacter Infections
 +
*Clostridium Difficile Colitis
 +
*Colon Cancer
 +
*Crohn Disease
 +
*Cryptosporidiosis
 +
*Mycobacterium Avium-Intracellulare
 +
*Toxic Megacolon
 +
*Ulcerative Colitis
 +
*Viral Gastroenteritis
  
 
==Diagnosis==
 
==Diagnosis==

Revision as of 22:50, 29 June 2015

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 Presentation

Differential Diagnosis

  • Bacterial Gastroenteritis
  • Campylobacter Infections
  • Clostridium Difficile Colitis
  • Colon Cancer
  • Crohn Disease
  • Cryptosporidiosis
  • Mycobacterium Avium-Intracellulare
  • Toxic Megacolon
  • Ulcerative Colitis
  • Viral Gastroenteritis

Diagnosis

Management

Disposition

  • 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)

See Also

External Links

References