Önay GERÇİK1, Dilek SOLMAZ1, Şebnem KARASU2, Neşe EKİNCİ3, Servet AKAR1

1Department of Rheumatology, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
2Department of Radiology, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey
3Department of Pathology, Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey

Keywords: Antineutrophil cytoplasmic antibody-associated vasculitis, cytomegalovirus, granulomatosis with polyangiitis, infarct, splenic, Wegener granulomatosis

Abstract

Cytomegalovirus infection, which can occur as a result of reactivation due to immunosuppressive treatment in patients with granulomatosis with polyangiitis, is a serious condition that should be kept in mind because of its fatal course. In this article, we report a 49-year-old male patient with a diagnosis of granulomatosis with polyangiitis who developed a life-threatening colonic ulcer due to cytomegalovirus colitis and a shrunken spleen with irregular contours that was detected on abdominal computed tomography. This is a rare case of cytomegalovirus disease in a patient with granulomatosis with polyangiitis and splenic necrosis.