Cytomegalovirus as an Insidious Pathogen Causing Duodenitis

• Hagiya Hideharu

• Iwamuro Masaya

• Tanaka Takehiro

• Hanayama Yoshihisa

• Otsuka Fumio

抄録

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.

収録刊行物

• Acta Medica Okayama

  Acta Medica Okayama 69 (5), 319-323, 2015-10

  Okayama University Medical School

キーワード

• antigenemia
• cytomegalovirus (CMV)
• gastrointestinal infection
• methotrexate
• opportunistic infection

詳細情報

• CRID: 1390290699796100096
• NII論文ID: 120005666071
• NII書誌ID: AA00508441
• ISSN: 0386300X
• DOI: 10.18926/amo/53679
• PubMed: 26490030
• Web Site: https://ousar.lib.okayama-u.ac.jp/53679
• Web Site: https://search.jamas.or.jp/link/ui/2016310207
• 本文言語コード: en
• データソース種別:
  • JaLC
  • IRDB
  • PubMed
  • CiNii Articles