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Cytomegalovirus-associated colitis (CMV colitis) typically occurs in patients in the immunosuppressed state. A diabetic ketoacidosis state further deteriorates immunological functions. However, diabetic patients in a hyperglycemic state developing CMV colitis have been rarely observed. During the course of this study, we came across a case of diabetic ketoacidosis (DKA) with CMV colitis, which is reported herein.doi:10.2169/internalmedicine.48.1594 pmid:19252359 fatcat:accr6qb44rbkdfn5cvs7sxdzzm