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KMID : 0931320190190040277
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대한상부위장관.헬리코박터학회지
2019 Volume.19 No. 4 p.277 ~ p.281
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Gastric Ulcers with Cytomegalovirus Infection in an Immunocompetent Patient
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Kim Tae-Oh
Shim Ki-Nam
Kim Sang-Yoon
Lim Ji-Young
Choe A-Reum
Tae Chung-Hyun
Moon Chang-Mo
Kim Seong-Eun
Jung Hye-Kyung
Jung Sung-Ae
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Abstract
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Cases of cytomegalovirus (CMV) infection are rare, and this infection is commonly asymptomatic in immunocompetent patients. Here, we report a pathologically proven case of CMV infection in gastric ulcers in an immunocompetent patient. A 35-year-old man visited our hospital for a surveillance esophagogastroduodenoscopy. Except fatigue, he had no other symptoms. Laboratory data showed that his white cell count was 9.28×103/μL with 60.1% lymphocytes. However, aspartate transaminase and alanine aminotransferase levels were elevated. Esophagogastroduodenoscopy revealed multiple gastric ulcers that were healing. Two endoscopic biopsies were performed to obtain specimens at the ulcer base. Histological examination and immunohistochemistry confirmed CMV infection; subsequently, we decided that the best option was observation without medication. He revisited a month later, and the ulcers had disappeared.
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KEYWORD
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Cytomegalovirus, Immunocompetence, Stomach ulcer
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