A rare case of Cytomegalovirus enteritis in a 65 year old immunocompetent Caucasian male following cardiac surgery

Results A 65 year old immunocompetent gentleman presented with signs/symptoms of crescendo angina and an elevated troponin (297ng/L). Angiography showed triple vessel disease and severe left ventricular dysfunction. Cardiac Magnetic Resonance Imaging demonstrated some reversibility but a low ejection fraction of 20%. He underwent urgent CABG, and as per protocol was admitted to the cardiac intensive care unit (CICU). Postoperatively, he developed multiple complications including lower and upper gastrointestinal (GI) bleeding, acute abdomen and dialysis resistant lactate acidosis. Due to his abdominal symptoms/signs, he underwent a laparotomy, resection of 82 cm of necrotic perforated small bowel and fashioning of an end ileostomy. Histology proved the aetiology of his abdominal symptoms/signs was CMV enteritis.