Hidden Tunnel: A Case of Duodenal-Colonic Fistula Caused by Cytomegalovirus

We present the case of an 86-year-old African American gentleman who presented with fatigue, diarrhea, and weight loss. He had elevated liver enzymes in an obstructive pattern. A magnetic resonance cholangiopancreatography scan showed edema around the stomach and duodenum, which prompted evaluation...

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Detalles Bibliográficos
Autores principales: Myadam, Rahul, Zafar, Yousaf, Kalantri, Pooja
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Allergy/Immunology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336589/
https://www.ncbi.nlm.nih.gov/pubmed/32642341
http://dx.doi.org/10.7759/cureus.8425
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author Myadam, Rahul
Zafar, Yousaf
Kalantri, Pooja
author_facet Myadam, Rahul
Zafar, Yousaf
Kalantri, Pooja
author_sort Myadam, Rahul
collection PubMed
description We present the case of an 86-year-old African American gentleman who presented with fatigue, diarrhea, and weight loss. He had elevated liver enzymes in an obstructive pattern. A magnetic resonance cholangiopancreatography scan showed edema around the stomach and duodenum, which prompted evaluation with an esophagogastroduodenoscopy. A large enteric fistula between the duodenum and colon was visible, and biopsies returned positive for cytomegalovirus (CMV). The patient did not have any known risk factors for immunodeficiency and was successfully treated with medical therapy. Our case is unique in the severity of CMV infection in an otherwise healthy individual. 
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spelling pubmed-73365892020-07-07 Hidden Tunnel: A Case of Duodenal-Colonic Fistula Caused by Cytomegalovirus Myadam, Rahul Zafar, Yousaf Kalantri, Pooja Cureus Allergy/Immunology We present the case of an 86-year-old African American gentleman who presented with fatigue, diarrhea, and weight loss. He had elevated liver enzymes in an obstructive pattern. A magnetic resonance cholangiopancreatography scan showed edema around the stomach and duodenum, which prompted evaluation with an esophagogastroduodenoscopy. A large enteric fistula between the duodenum and colon was visible, and biopsies returned positive for cytomegalovirus (CMV). The patient did not have any known risk factors for immunodeficiency and was successfully treated with medical therapy. Our case is unique in the severity of CMV infection in an otherwise healthy individual.  Cureus 2020-06-03 /pmc/articles/PMC7336589/ /pubmed/32642341 http://dx.doi.org/10.7759/cureus.8425 Text en Copyright © 2020, Myadam et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Allergy/Immunology
Myadam, Rahul
Zafar, Yousaf
Kalantri, Pooja
Hidden Tunnel: A Case of Duodenal-Colonic Fistula Caused by Cytomegalovirus
title Hidden Tunnel: A Case of Duodenal-Colonic Fistula Caused by Cytomegalovirus
title_full Hidden Tunnel: A Case of Duodenal-Colonic Fistula Caused by Cytomegalovirus
title_fullStr Hidden Tunnel: A Case of Duodenal-Colonic Fistula Caused by Cytomegalovirus
title_full_unstemmed Hidden Tunnel: A Case of Duodenal-Colonic Fistula Caused by Cytomegalovirus
title_short Hidden Tunnel: A Case of Duodenal-Colonic Fistula Caused by Cytomegalovirus
title_sort hidden tunnel: a case of duodenal-colonic fistula caused by cytomegalovirus
topic Allergy/Immunology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336589/
https://www.ncbi.nlm.nih.gov/pubmed/32642341
http://dx.doi.org/10.7759/cureus.8425
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