Cytomegalovirus enteritis manifesting as recurrent bowel obstruction and jejunal perforation in patient with acquired immunodeficiency syndrome: rare report of survival and review of the literature

Surg Infect (Larchmt). 2012 Apr;13(2):121-4. doi: 10.1089/sur.2010.098. Epub 2012 Mar 22.

Abstract

Background: Cytomegalovirus (CMV) enteritis presenting with perforation in the setting of acquired immunodeficiency syndrome (AIDS) represents a particularly deadly combination.

Methods: Case report and review of the pertinent literature.

Case report: The authors report a patient with AIDS and CMV enteritis presenting as recurrent small-bowel obstruction and leading to perforation of the jejunum with subsequent survival.

Conclusion: This is believed to represent the second case in the English-language literature of survival after CMV-induced small intestinal perforation in a patient with AIDS.

Publication types

  • Case Reports
  • Review

MeSH terms

  • AIDS-Related Opportunistic Infections / complications*
  • Antiviral Agents / therapeutic use
  • Cytomegalovirus Infections / drug therapy*
  • Emphysema / surgery
  • Emphysema / virology
  • Enteritis / microbiology*
  • Enteritis / surgery
  • Humans
  • Intestinal Obstruction / surgery
  • Intestinal Obstruction / virology*
  • Intestinal Perforation / surgery
  • Intestinal Perforation / virology*
  • Jejunal Diseases / surgery
  • Jejunal Diseases / virology*
  • Male
  • Middle Aged
  • Recurrence

Substances

  • Antiviral Agents