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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
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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 |
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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 |