Cytomegalovirus Jejunitis Diagnosed with Single-Balloon Enteroscopy.
10.4166/kjg.2013.62.4.238
- Author:
Eung Jun LEE
1
;
Hyun Sung YOON
;
Cho I LEE
;
Yun Serk LEE
;
Sung Noh HONG
;
Sun Young LEE
;
In Kyung SUNG
;
Chan Sup SHIM
Author Information
1. Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea. csshim@kuh.ac.kr
- Publication Type:Case Reports ; English Abstract
- Keywords:
Cytomegalovirus;
Double-balloon enteroscopy;
Jejunitis
- MeSH:
Aged;
Antiviral Agents/therapeutic use;
Cytomegalovirus/genetics/isolation & purification;
Cytomegalovirus Infections/complications/*diagnosis/drug therapy;
DNA, Viral/analysis;
Endoscopy, Gastrointestinal;
Enteritis/*diagnosis/etiology/virology;
Ganciclovir/therapeutic use;
Humans;
Injections, Intravenous;
Jejunal Diseases/*diagnosis/etiology/virology;
Male;
Polymerase Chain Reaction;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2013;62(4):238-242
- CountryRepublic of Korea
- Language:Korean
-
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.
