Cytomegalovirus as an Insidious Pathogen Causing Duodenitis.

نویسندگان

  • Hideharu Hagiya
  • Masaya Iwamuro
  • Takehiro Tanaka
  • Yoshihisa Hanayama
  • Fumio Otsuka
چکیده

A 60-year-old woman with rheumatoid arthritis treated with methotrexate for a decade complained of slight epigastric discomfort. A positive cytomegalovirus (CMV) antigenemia test indicated the probability of CMV-related gastrointestinal infection, for which esophagogastroduodenoscopy was performed. Endoscopic findings showed a non-specific duodenal mucosal lesion;however, pathological investigation revealed evidence of CMV duodenitis. There is scarce information on the clinical and pathological features of CMV-related duodenitis, likely due to its low prevalence. CMV infection in the upper gastrointestinal tract should be considered as a differential diagnosis in high-risk individuals, particularly those with symptoms relating to the digestive system. Biopsy examinations are preferable for the definitive diagnosis of CMV gastrointestinal infection, even without specific endoscopic features.

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عنوان ژورنال:
  • Acta medica Okayama

دوره 69 5  شماره 

صفحات  -

تاریخ انتشار 2015