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NDT Plus Advance Access originally published online on February 10, 2009
NDT Plus 2009 2(3):239-241; doi:10.1093/ndtplus/sfp015
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© The Author [2009]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Life-threatening rectal bleeding due to cytomegalovirus colitis in a haemodialysis patient

Alexandra Rankin1, Kirsty Cuthill2, Manil Subesinghe3 and David Goldsmith4

1 Renal Department, Rayne Institute, King's College London School of Medicine
2 Haematology Department, Guy's Hospital, Great Maze Pond, London, SE1 9RT
3 Radiology Academy, Leeds General Infirmary, Great George St, Leeds, West Yorkshire, LS1 3EX
4 Renal and Transplantation Department, Guy's Hospital, Great Maze Pond, London, SE1 9RT, UK

Correspondence: Correspondence and offprint requests to: Alexandra Rankin, Catherine, Clinical Research Fellow, Renal Department, Rayne Institute, King's College London School of Medicine, 123, Coldharbour Lane, London SE5 9NU, UK. Tel: +44-207-848-5490; Fax: +44-207-848-0515; E-mail: rankinalex{at}yahoo.com


  Abstract

Cytomegalovirus (CMV) disease is a well-recognized complication in immunocompromised patients such as renal transplant recipients, occurring due to reactivation of latent infection or primary infection. It is, however, uncommon in immunocompetent patients. We report a haemodialysis patient who presented with pyrexia and life-threatening rectal bleeding due to CMV colitis, who had none of the classical risk factors for CMV disease, although was at risk. We review the literature surrounding CMV colitis in immunocompetent patients. This case highlights the importance of considering unusual causes for the common presentation of rectal bleeding in vulnerable patient populations.

Key Words: cytomegalovirus • haemodialysis • immunocompetent • rectal bleed

Received for publication January 13, 2009. Accepted for publication January 19, 2009.


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