A Case With Vitamin D Deficiency-Induced Cytomegalovirus Enteritis Presenting as Bowel Pseudo-Obstruction

Cytomegalovirus (CMV) infection in small intestines has rarely been reported. We report a 67-year-old woman with abdominal pain for 2 weeks. Abdominal computed tomography (CT) revealed wall-thickening of the segmental small bowel. Enteroscopy disclosed discrete ulcers at the jejunum, and biopsy hist...

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Autores principales: Lee, Shou-Wu, Ko, Chung-Wang, Liao, Szu-Chia, Chang, Chung-Shihn, Yeh, Hong-Zen, Chang, Chi-Sen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505286/
https://www.ncbi.nlm.nih.gov/pubmed/28725308
http://dx.doi.org/10.14740/gr823w
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author Lee, Shou-Wu
Ko, Chung-Wang
Liao, Szu-Chia
Chang, Chung-Shihn
Yeh, Hong-Zen
Chang, Chi-Sen
author_facet Lee, Shou-Wu
Ko, Chung-Wang
Liao, Szu-Chia
Chang, Chung-Shihn
Yeh, Hong-Zen
Chang, Chi-Sen
author_sort Lee, Shou-Wu
collection PubMed
description Cytomegalovirus (CMV) infection in small intestines has rarely been reported. We report a 67-year-old woman with abdominal pain for 2 weeks. Abdominal computed tomography (CT) revealed wall-thickening of the segmental small bowel. Enteroscopy disclosed discrete ulcers at the jejunum, and biopsy histopathology showed positive CMV immunoreactivity. Laboratory tests showed positive blood CMV with a viral load of 9,400 DNA copies/mL and high IgG titer and low vitamin D level. After antiviral therapy and oral vitamin D supply, her symptoms improved. Follow-up CT and enterology showed resolved enteritis.
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spelling pubmed-55052862017-07-19 A Case With Vitamin D Deficiency-Induced Cytomegalovirus Enteritis Presenting as Bowel Pseudo-Obstruction Lee, Shou-Wu Ko, Chung-Wang Liao, Szu-Chia Chang, Chung-Shihn Yeh, Hong-Zen Chang, Chi-Sen Gastroenterology Res Case Report Cytomegalovirus (CMV) infection in small intestines has rarely been reported. We report a 67-year-old woman with abdominal pain for 2 weeks. Abdominal computed tomography (CT) revealed wall-thickening of the segmental small bowel. Enteroscopy disclosed discrete ulcers at the jejunum, and biopsy histopathology showed positive CMV immunoreactivity. Laboratory tests showed positive blood CMV with a viral load of 9,400 DNA copies/mL and high IgG titer and low vitamin D level. After antiviral therapy and oral vitamin D supply, her symptoms improved. Follow-up CT and enterology showed resolved enteritis. Elmer Press 2017-06 2017-06-30 /pmc/articles/PMC5505286/ /pubmed/28725308 http://dx.doi.org/10.14740/gr823w Text en Copyright 2017, Lee et al. http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Shou-Wu
Ko, Chung-Wang
Liao, Szu-Chia
Chang, Chung-Shihn
Yeh, Hong-Zen
Chang, Chi-Sen
A Case With Vitamin D Deficiency-Induced Cytomegalovirus Enteritis Presenting as Bowel Pseudo-Obstruction
title A Case With Vitamin D Deficiency-Induced Cytomegalovirus Enteritis Presenting as Bowel Pseudo-Obstruction
title_full A Case With Vitamin D Deficiency-Induced Cytomegalovirus Enteritis Presenting as Bowel Pseudo-Obstruction
title_fullStr A Case With Vitamin D Deficiency-Induced Cytomegalovirus Enteritis Presenting as Bowel Pseudo-Obstruction
title_full_unstemmed A Case With Vitamin D Deficiency-Induced Cytomegalovirus Enteritis Presenting as Bowel Pseudo-Obstruction
title_short A Case With Vitamin D Deficiency-Induced Cytomegalovirus Enteritis Presenting as Bowel Pseudo-Obstruction
title_sort case with vitamin d deficiency-induced cytomegalovirus enteritis presenting as bowel pseudo-obstruction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505286/
https://www.ncbi.nlm.nih.gov/pubmed/28725308
http://dx.doi.org/10.14740/gr823w
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