Coll P P, Pacala J T, Hamilton C W
Department of Family Medicine, University of Connecticut, Hartford.
J Fam Pract. 1992 Jun;34(6):772-5.
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.
巨细胞病毒（CMV）感染通常见于免疫功能低下者，在免疫功能正常者中很少出现。我们报告一例老年女性巨细胞病毒性结肠炎病例，该患者表现为谵妄、持续发热和腹泻。使用抗病毒药物更昔洛韦治疗后，结肠炎在3周内得到缓解，且无明显副作用。由于免疫功能随年龄增长而发生变化，老年人可能更容易感染CMV。对于持续发热、腹泻且粪便培养阴性的老年人，应考虑巨细胞病毒性结肠炎的可能性。
