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Korean J Pediatr Gastroenterol Nutr. 2003 Mar;6(1):59-67. Korean.
Published online Mar 31, 2003.  https://doi.org/10.5223/kjpgn.2003.6.1.59
Copyright © 2003 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
A Case of Congenital Cytomegalovirus Colitis with Colonic Stricture
Hye Ran Yang, You Jeong Kim, Jeong Kee Seo, Woo Sun Kim,* Gyeong Hun Gang, and Kwi Won Park
Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.
*Department of Radiology, Seoul National University College of Medicine, Seoul, Korea.
Department of Pathology, Seoul National University College of Medicine, Seoul, Korea.
Department of Pediatric Surgery, Seoul National University College of Medicine, Seoul, Korea.
Abstract

Congenital cytomegalovirus (CMV) infections are usually asymptomatic in newborns or may present with rash, hepatosplenomegaly, jaundice, pneumonia, and the development of central nervous system sequelae. Gastrointestinal involvement of congenital CMV infection complicating stricture has been rarely reported, especially in children. We report a case of a 2-month-old body who presented with bloody stool since 3 days of age. Hemotochezia was attributable to CMV colitis with colonic stricture, which was confirmed by histopathology, serologic studies and virus culture. Clinical status of the patient improved with intravenous administration of ganciclovir.

Keywords: Congenital infection; Cytomegalovirus; Colitis; Stricture