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Cytomegalovirus Infection of the Colon Presenting as a Mass-Like LesionTan C.B.a · Vardaros M.b · Prasad A.b · Rashid S.b · Dahl K.b · Moise D.b · Gebre W.c · Rizvon K.b · Mustacchia P.b
Departments of aMedicine, bGastroenterology and cPathology, Nassau University Medical Center, East Meadow, N.Y., USA Corresponding Author
Christopher B. Tan, MD
Department of Medicine, Nassau University Medical Center
2201 Hempstead Turnpike, East Meadow, NY 11554 (USA)
Cytomegalovirus (CMV) is responsible for the most common opportunistic infections in patients with acquired immunodeficiency syndrome (AIDS). The colon is a common site for these infections in patients positive for human immunodeficiency virus. CMV rarely presents as an intraluminal inflammatory mass in the colon. Here we report the case of a CMV infection presenting as a mass-like lesion in an AIDS patient. The clinical diagnosis of CMV infection is largely based on the characteristic endoscopic appearance. Endoscopic procedures are encouraged early in the course of CMV infection in immunocompromised patients. CMV pseudotumors along with malignancy should be part of the endoscopic evaluation in patients with AIDS.
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