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  • Title: [Cytomegalovirus jejunitis diagnosed with single-balloon enteroscopy].
    Author: Lee EJ, Yoon HS, Lee CI, Lee YS, Hong SN, Lee SY, Sung IK, Shim CS.
    Journal: Korean J Gastroenterol; 2013 Oct; 62(4):238-42. PubMed ID: 24162712.
    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.
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