PMC3785350_01
It shows changes consistent with severe colitis due to both graft versus host disease and cytomegalovirus infection.
ccrep-1-2008-101f1.jpg
PMC3785350_01_ccrep-1-2008-101f1.jpg
f1-ccrep-1-2008-101
A repeat colonoscopy showed severe colitis with grade IV colonic GVHD (Fig. 1). On day +152 HSCT, the patient was still having positive CMV antigenemia and the previously taken colonic biopsy became positive for CMV (Fig. 1) so IV ganciclovir was replaced by IV foscarnet 60 mg/kg thrice daily.