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  • Title: Cytomegalovirus colitis in an older woman, successfully treated with ganciclovir.
    Author: Coll PP, Pacala JT, Hamilton CW.
    Journal: J Fam Pract; 1992 Jun; 34(6):772-5. PubMed ID: 1317403.
    Abstract:
    Cytomegalovirus (CMV) infections are usually found in immunocompromised persons and rarely present in those who are immunocompetent. We report a case of CMV colitis in an elderly woman presenting with delirium, prolonged fever, and diarrhea. Treatment with ganciclovir, an antiviral agent, resulted in resolution of the colitis within 3 weeks without noticeable side effects. Older adults may be more susceptible to CMV infection by virtue of age-related changes in immune function. The possibility of CMV colitis should be considered in an elderly person with persistent fever, diarrhea, and negative stool cultures.
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