Cytomegalovirus infection presenting as a colonic mass in a patient with acquired immunodeficiency syndrome
Dhyan Rajan1, Robin Jacob1, Sadat Rashid2, Magdalene Vardaros2, Anastasiya Pigal3, Wondwossen Gebre3, Kaleem Rizvon2, Krishnaiyer Subramani2, Umeko Takeshige2, Paul Mustacchia2
1Department of Internal Medicine, 2Department of Gastroenterology, 3Department of Pathology, Nassau University Medical Center, East Meadow, New York, NY, USA
Abstract: Cytomegalovirus (CMV) infection of the gastrointestinal tract occurs in both immunocompromised and immunocompetent hosts. Often presenting as ulcerative lesions, CMV infection rarely presents as a mass lesion in the gastrointestinal tract. We present a case of a discrete colonic mass caused by CMV infection in a patient with acquired immunodeficiency syndrome (AIDS). This case illustrates that an infectious process such as CMV should be considered along with malignancy as the etiology of a mass lesion present in the gastrointestinal tract of patients with AIDS.
Keywords: pseudotumor, colonic mass, opportunistic infection, ganciclovir
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