Cargando…

Stricturing CMV enteritis in an adult liver transplant recipient

Cytomegalovirus (CMV) is a common posttransplant infection, most commonly seen in settings of excessive immunosuppression. Before the advent of CMV specific antiviral therapies, the standard treatment approaches for CMV disease were immunosuppression reductions to let the transplant recipient mount...

Descripción completa

Detalles Bibliográficos
Autores principales: Helmick, Ryan A, Agbim, Uchenna A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6917467/
https://www.ncbi.nlm.nih.gov/pubmed/31867097
http://dx.doi.org/10.1093/jscr/rjz356
_version_ 1783480417839480832
author Helmick, Ryan A
Agbim, Uchenna A
author_facet Helmick, Ryan A
Agbim, Uchenna A
author_sort Helmick, Ryan A
collection PubMed
description Cytomegalovirus (CMV) is a common posttransplant infection, most commonly seen in settings of excessive immunosuppression. Before the advent of CMV specific antiviral therapies, the standard treatment approaches for CMV disease were immunosuppression reductions to let the transplant recipient mount an immunologic response against CMV. Additionally, CMV is rarely identified as causing stricturing enteritis and has not previously been reported as causing stricturing enteritis in an adult transplant recipient. All identified reports of stricturing CMV enteritis have been reported in either pediatric patient populations or those with severe immunosuppression from human immunodeficiency virus and acquired immune deficiency syndrome. Our report presents the unusual case of an adult liver transplant recipient many years after transplant and on minimal immunosuppression with mycophenolate alone who developed stricturing CMV enteritis.
format Online
Article
Text
id pubmed-6917467
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-69174672019-12-20 Stricturing CMV enteritis in an adult liver transplant recipient Helmick, Ryan A Agbim, Uchenna A J Surg Case Rep Case Report Cytomegalovirus (CMV) is a common posttransplant infection, most commonly seen in settings of excessive immunosuppression. Before the advent of CMV specific antiviral therapies, the standard treatment approaches for CMV disease were immunosuppression reductions to let the transplant recipient mount an immunologic response against CMV. Additionally, CMV is rarely identified as causing stricturing enteritis and has not previously been reported as causing stricturing enteritis in an adult transplant recipient. All identified reports of stricturing CMV enteritis have been reported in either pediatric patient populations or those with severe immunosuppression from human immunodeficiency virus and acquired immune deficiency syndrome. Our report presents the unusual case of an adult liver transplant recipient many years after transplant and on minimal immunosuppression with mycophenolate alone who developed stricturing CMV enteritis. Oxford University Press 2019-12-17 /pmc/articles/PMC6917467/ /pubmed/31867097 http://dx.doi.org/10.1093/jscr/rjz356 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2019. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Helmick, Ryan A
Agbim, Uchenna A
Stricturing CMV enteritis in an adult liver transplant recipient
title Stricturing CMV enteritis in an adult liver transplant recipient
title_full Stricturing CMV enteritis in an adult liver transplant recipient
title_fullStr Stricturing CMV enteritis in an adult liver transplant recipient
title_full_unstemmed Stricturing CMV enteritis in an adult liver transplant recipient
title_short Stricturing CMV enteritis in an adult liver transplant recipient
title_sort stricturing cmv enteritis in an adult liver transplant recipient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6917467/
https://www.ncbi.nlm.nih.gov/pubmed/31867097
http://dx.doi.org/10.1093/jscr/rjz356
work_keys_str_mv AT helmickryana stricturingcmventeritisinanadultlivertransplantrecipient
AT agbimuchennaa stricturingcmventeritisinanadultlivertransplantrecipient