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KMID : 0882420090760000040
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Korean Journal of Medicine
2009 Volume.76 No. 0 p.40 ~ p.43
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A case of cytomegalovirus esophagitis associated with upper gastrointestinal bleeding
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Lee Gui-Hyung
Jang Byung-Ik
Kim Kyeong-Ok
Lee Si-Hyung
Lee Jun-Young
Eun Jong-Ryul
Kim Tae-Nyeun
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Abstract
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Cytomegalovirus (CMV) infections are common in immunocompromised patients, although they may occur occasionally in immunocompetent patients. The majority of CMV infections in immunocompetent adults are asymptomatic or associated with mild mononucleosis-like syndrome. CMV involvement of the colon is the most common site of infection in the gastrointestinal tract and is more commonly a cause of massive gastrointestinal bleeding compared to CMV involvement of the upper gastrointestinal tract and small intestine. However, although rarely, CMV esophagitis can be the source of upper gastrointestinal bleeding. We report an immunocompetent patient with cytomegalovirus esophagitis and massive upper gastrointestinal bleeding who had undergone left lobectomy and cholecystectomy for intrahepatic duct stones and gallstones.
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KEYWORD
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Cytomegalovirus (CMV), Esophagitis, Hemorrhage, Immunocompetent
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