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Cytomegalic inclusion disease diagnosed endoscopically

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Abstract

Two patients who received renal transplants developed erosions or ulcers in the upper gastrointestinal tract. In both cases endoscopic evaluation enabled a diagnosis of cytomegalovirus (CMV) infection to be made quickly and safely. We emphasize the importance of early diagnosis of CMV infection and how endoscopy may be helpful.

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References

  1. Nankervis GA, Kumar ML: Diseases produced by cytomegaloviruses? Med Clin North Am 62:1024–1035, 1978

    Google Scholar 

  2. Fisher ER, Davis E: Cytomegalic inclusion disease in the adult. N Engl J Med 258:1036, 1958

    Google Scholar 

  3. Ayulo M, Aisner SC, Margolis K, Moravec C: Cytomegalovirus-associated gastritis in a compromised host. J Am Med Assoc 243:1364, 1980

    Google Scholar 

  4. Freeman HJ, Shnitka TK, Piercey JRA, Weinstein WM: Cytomegalovirus infection of the gastrointestinal tract in a patient with late onset immunodeficiency syndrome. Gastroenterology 73:1397–1403, 1977

    Google Scholar 

  5. Weller TH: The cytomegaloviruses: Ubiquitous agent with protean clinical manifestations. N Engl J Med 285:203, 1971

    Google Scholar 

  6. Rinker CT, McGraw JP: Cytomegalic inclusion disease in childhood leukemia. Cancer 20:36, 1967

    Google Scholar 

  7. Henson D: Cytomegalovirus inclusion bodies in the gastrointestinal tract. Arch Pathol 93:477–482, 1972

    Google Scholar 

  8. Ho M, Suwansirikul S, Dowling JN, Youngblood LA, Armstrong JA: The transplanted kidney as a source of cytomegalovirus infection. N Engl J Med 293:1109–1112, 1975

    Google Scholar 

  9. Diethelm AG, Gore I, Chien LT, Sterling WA, Morgan JM: Gastrointestinal hemorrhage secondary to cytomegalovirus after renal transplantation. Am J Surg 131:371–374, 1976

    Google Scholar 

  10. Stuart FP: Selection, preparation and management of kidney transplant recipients. Med Clin North Am 62:1381–1397, 1978

    Google Scholar 

  11. Campbell DA, Piercey JRA, Shnitka TK, Goldsand G, Devine RDO, Weinstein WM: Cytomegalovirus-associated gastric ulcer. Gastroenterology 72:533–535, 1977

    Google Scholar 

  12. Goodman MD, Porter DD: Cytomegalovirus vasculitis with fatal colonic hemorrhage. Arch Pathol 96:281–284, 1973

    Google Scholar 

  13. Lewicki AM, Saito S, Merril JP: Gastrointestinal bleeding in the renal transplant patient. Diag Radiol 102:533–537, 1972

    Google Scholar 

  14. Aldrete JS, Sterling WA, Hathway BM, Morgan JM, Diethelm AG: Gastrointestinal and hepatic complications affecting patients with renal allografts. Am J Surg 129:115–124, 1975

    Google Scholar 

  15. Nakoneczna I, Kay S: Fatal disseminated cytomegalic inclusion disease in an adult presenting with a lesion of the gastrointestinal tract. Am J Clin Pathol 47:124–128, 1967

    Google Scholar 

  16. Wolfe BM, Cherry JD: Hemorrhage from cecal ulcers of cytomegalovirus infection. Ann Surg 177:490–494, 1973

    Google Scholar 

  17. Underwood JCE, Corbett CL: Persistent diarrhea and hypoalbuminemia associated with cytomegalovirus enteritis. Br Med J 1:1029–1030, 1978

    Google Scholar 

  18. Rubin RH, Russell P, Levin M, Cohen C: Summary of a workshop on cytomegalovirus infections during organ transplantation. J Infect Dis 139:728–734, 1979

    Google Scholar 

  19. Simmons RL, Matas AJ, Rarrazzi LC, Balfour HH, Howard RJ, Najarian JS: Clinical characteristics of the lethal cytomegalovirus infection following renal transplantation. Surgery 82:537–546, 1977

    Google Scholar 

  20. Keren DF, Milligan FD Strandberg JD, Yardley JH: Intercurrent cytomegalovirus colitis in a patient with ulcerative colitis. Johns Hopkins Med J 136:178–182, 1975

    Google Scholar 

  21. Tamura H: Acute ulcerative colitis associated with cytomegalic inclusion virus. Arch Pathol 96:164–167, 1973

    Google Scholar 

  22. Sidi S, Graham JH, Razvi SA, Banks PA: Cytomegalovirus infection of the colon associated with ulcerative colitis. Arch Surg 114:857–859, 1979

    Google Scholar 

  23. Cooper HS, Raffensperger EC, Jonas L, Fitts WT Jr: Cytomegalovirus inclusions in patients with ulcerative colitis and toxic dilation requiring colonic resection. Gastroenterology 72:1253–1256, 1977

    Google Scholar 

  24. Hirsch, MS, Swartz MN: Antiviral agents, parts I and II. N Engl J Med 302:903–907, 939–953, 1980

    Google Scholar 

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This research was supported by a grant from the Veterans Administration.

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Allen, J.I., Silvis, S.E., Sumner, H.W. et al. Cytomegalic inclusion disease diagnosed endoscopically. Digest Dis Sci 26, 133–135 (1981). https://doi.org/10.1007/BF01312230

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  • DOI: https://doi.org/10.1007/BF01312230

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