Late onset CMV disease presenting as a colonic stricture in a liver transplant recipient

Transpl Infect Dis. 2020 Apr;22(2):e13259. doi: 10.1111/tid.13259. Epub 2020 Feb 24.

Abstract

Cytomegalovirus (CMV) is a common opportunistic infection in solid organ transplant (SOT) recipients in the first 6 months after transplant. Late onset CMV infection or disease outside the classical risk period is uncommon and can present with atypical signs and symptoms. Here, we report a case of late onset CMV presenting as a colonic stricture more than 10 years after liver transplantation in the absence of traditional CMV risk factors. We also briefly review CMV colitis presenting as a mass or stricture in SOT recipients.

Keywords: CMV; colonic stricture; cytomegalovirus; liver; transplant.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Antiviral Agents / therapeutic use
  • Colitis / diagnosis
  • Colitis / virology*
  • Colon / pathology*
  • Constriction, Pathologic
  • Cytomegalovirus
  • Cytomegalovirus Infections / diagnosis*
  • Cytomegalovirus Infections / drug therapy
  • Female
  • Humans
  • Liver Transplantation / adverse effects*
  • Male
  • Risk Factors
  • Sigmoidoscopy

Substances

  • Antiviral Agents