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Table 1 Comorbidities, clinical characteristics, and outcomes of 11 cases of CMV proctitis in immunocompetent patients

From: Reactivated cytomegalovirus proctitis in an immunocompetent patient presenting as nosocomial diarrhea: a case report and literature review

Case, Reference, Publication year

Sex/Age (yr)

Comorbidities

Presenting Symptoms

Preceding condition

Endoscopic finding

Pathological findinga

Treatment

Outcome

1 [21], 2007

M/71

DM, arrhythmia

Hematochezia

Esophageal adenocarcinoma with esophagectomy complicated with multiple organ failure

Multiple ulcers

Yes

Proctectomy and colostomy

Died (due to massive rectal bleeding)

2 [22], 2006

F/86

N/A

Anorexia, diarrhea

N/A

Two fistulas (into the vagina and urinary bladder)

Yes

Ganciclovir

Improved

3 [23], 1999

F/57

DM

Diarrhea, tenesmus, and difficulty in defecating

Klebsiella pneumoniae bacteremia complicated with disseminated hepatic microabscesses and septic pneumonia

Large ulceration with multiple fistulas and sinus tracts

Yes

Ganciclovir

Improved

4 [12], 1999

F/83

DM, stroke

Bloody diarrhea

Pseudomonas pyelonephritis

Rectal ulcer

Yes

Supportive

Improved

5 [12], 1999

F/59

Hypertension, CKD

Bloody diarrhea (5 days after MI)

Acute MI with cardiogenic shock

Rectal erosions

Yes

Supportive

Died (due to heart and renal failure)

6 [12], 1999

M/63

IHD, CKD

Diarrhea, fever (12 days after MI)

Acute MI, stroke

Rectal erythema

Yes

Supportive

Died (due to pneumonia)

7 [12], 1999

F/69

DM

Hematochezia, fever

Hyperosmolar diabetic coma, pneumonia, and cystitis

Circumferential ulcer at the rectum

Yes

Supportive

Died (due to pyelonephritis)

8 [12], 1999

F/92

Meningioma; chairbound

Bloody diarrhea, fever

Cholangitis

Rectal ulcer

Yes

Ganciclovir

Rectal stricture, improved

9 [12], 1999

F/74

Osteoporosis, DM, parkinsonism

Bloody diarrhea

N/A

Sessile growth at rectum

Yes

Ganciclovir

Died, (due to septic shock; had a rectovaginal fistula)

10 [24], 1988

M/65

N/A

Hematochezia

Motorcycle accident

Rectal erythema with a polypoid mass and punch-out ulcers

Yes

Sulfasalazine

Improved

11, current case

F/79

DM. IHD, major depression disorder

Abdominal pain, diarrhea, tenesmus

Metabolic encephalopathy, delirium

Rectal ulcer

Yes

Valganciclovir

Improved

  1. Abbreviations: CKD chronic kidney disease, DM diabetes mellitus, F female, IHD ischemic heart disease, M male, MI myocardial infarction, N/A not available
  2. aIncludes compatible CMV inclusion bodies on pathology