Cytomegalovirus Jejunitis Diagnosed with Single-Balloon Enteroscopy / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 238-242, 2013.
Article
in Korean
| WPRIM
| ID: wpr-169731
ABSTRACT
Cytomegalovirus (CMV) infections are usually diagnosed in immunocompromised patients. A 74-year-old male without any significant medical history visited our center because of abdominal pain and diarrhea which began about a month ago. Abdominal computed tomography revealed segmental enhanced bowel wall thickening on jejunum and single-balloon enteroscopy showed multiple geographic shaped ulcerations covered with exudates on proximal jejunum. Biopsy samples taken during endoscopic examination demonstrated necrotic fibrinopurulent tissue debris and benign ulcer. Nested-PCR analysis of CMV DNA from jejunal tissue was positive. The patient was finally diagnosed with CMV jejunitis and was treated by intravenous ganciclovir for 14 days after which, abdominal pain and diarrhea improved. Our case shows that CMV jejunitis can occur in an immunocompetent adult as multiple jejunal ulcers which can be diagnosed using a single-balloon enteroscope.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Antiviral Agents
/
DNA, Viral
/
Tomography, X-Ray Computed
/
Ganciclovir
/
Polymerase Chain Reaction
/
Endoscopy, Gastrointestinal
/
Cytomegalovirus Infections
/
Cytomegalovirus
/
Enteritis
/
Injections, Intravenous
Type of study:
Diagnostic study
Limits:
Aged
/
Humans
/
Male
Language:
Korean
Journal:
The Korean Journal of Gastroenterology
Year:
2013
Type:
Article
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