Age can be a Problem: Clostridium difficile and Cytomegalovirus Colitis Coinfection in an Immunocompetent 90-year-old Patient

Clostridium difficile colitis and cytomegalovirus colitis coinfection has been documented in immunocompromised patients. However, this kind of coinfection has rarely been reported in immunocompetent patients. We present a 90-year-old, critically ill, immunocompetent patient, who had a C. difficile a...

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Main Authors: Po-Hsun Chen, I-Ta Lu, Bor-Jen Lee, Chen-Yu Wang, Chien-Kuan Lee
Format: Article
Language:English
Published: Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) 2015-06-01
Series:International Journal of Gerontology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1873959815000319
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author Po-Hsun Chen
I-Ta Lu
Bor-Jen Lee
Chen-Yu Wang
Chien-Kuan Lee
author_facet Po-Hsun Chen
I-Ta Lu
Bor-Jen Lee
Chen-Yu Wang
Chien-Kuan Lee
author_sort Po-Hsun Chen
collection DOAJ
description Clostridium difficile colitis and cytomegalovirus colitis coinfection has been documented in immunocompromised patients. However, this kind of coinfection has rarely been reported in immunocompetent patients. We present a 90-year-old, critically ill, immunocompetent patient, who had a C. difficile and cytomegalovirus colitis coinfection. Although the common risk factors of both types of colitis are well known, clinical physicians still need to be alert to this coinfection because severe complications of CMV colitis have been reported previously. Physicians should be more aggressive in the management of elderly immunocompetent patients with refractory symptoms of colitis.
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spelling doaj.art-1026843c397e41e5853997d8f15700bb2022-12-22T02:06:25ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982015-06-019213013210.1016/j.ijge.2015.05.001Age can be a Problem: Clostridium difficile and Cytomegalovirus Colitis Coinfection in an Immunocompetent 90-year-old PatientPo-Hsun Chen0I-Ta Lu1Bor-Jen Lee2Chen-Yu Wang3Chien-Kuan Lee4Department of Internal Medicine, Taichung Veterans General Hospital, Taichung City, Taiwan, ROCDepartment of Internal Medicine, Taichung Veterans General Hospital, Taichung City, Taiwan, ROCDepartment of Internal Medicine, Taichung Veterans General Hospital, Taichung City, Taiwan, ROCDepartment of Internal Medicine, Taichung Veterans General Hospital, Taichung City, Taiwan, ROCDepartment of Pathology, Taichung Veterans General Hospital, Taichung City, Taiwan, ROCClostridium difficile colitis and cytomegalovirus colitis coinfection has been documented in immunocompromised patients. However, this kind of coinfection has rarely been reported in immunocompetent patients. We present a 90-year-old, critically ill, immunocompetent patient, who had a C. difficile and cytomegalovirus colitis coinfection. Although the common risk factors of both types of colitis are well known, clinical physicians still need to be alert to this coinfection because severe complications of CMV colitis have been reported previously. Physicians should be more aggressive in the management of elderly immunocompetent patients with refractory symptoms of colitis.http://www.sciencedirect.com/science/article/pii/S1873959815000319Clostridium difficile colitiscoinfectioncytomegalovirus colitis
spellingShingle Po-Hsun Chen
I-Ta Lu
Bor-Jen Lee
Chen-Yu Wang
Chien-Kuan Lee
Age can be a Problem: Clostridium difficile and Cytomegalovirus Colitis Coinfection in an Immunocompetent 90-year-old Patient
International Journal of Gerontology
Clostridium difficile colitis
coinfection
cytomegalovirus colitis
title Age can be a Problem: Clostridium difficile and Cytomegalovirus Colitis Coinfection in an Immunocompetent 90-year-old Patient
title_full Age can be a Problem: Clostridium difficile and Cytomegalovirus Colitis Coinfection in an Immunocompetent 90-year-old Patient
title_fullStr Age can be a Problem: Clostridium difficile and Cytomegalovirus Colitis Coinfection in an Immunocompetent 90-year-old Patient
title_full_unstemmed Age can be a Problem: Clostridium difficile and Cytomegalovirus Colitis Coinfection in an Immunocompetent 90-year-old Patient
title_short Age can be a Problem: Clostridium difficile and Cytomegalovirus Colitis Coinfection in an Immunocompetent 90-year-old Patient
title_sort age can be a problem clostridium difficile and cytomegalovirus colitis coinfection in an immunocompetent 90 year old patient
topic Clostridium difficile colitis
coinfection
cytomegalovirus colitis
url http://www.sciencedirect.com/science/article/pii/S1873959815000319
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