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KMID : 0614620130620040238
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Korean Journal of Gastroenterology
2013 Volume.62 No. 4 p.238 ~ p.242
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Cytomegalovirus Jejunitis Diagnosed with Single-Balloon Enteroscopy
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Lee Eung-Jun
Yoon Hyun-Sung
Lee Cho-I
Lee Yoon-Serk
Hong Sung-Noh
Lee Sun-Young
Sung In-Kyung
Shim Chan-Sup
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Abstract
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Cytomegalovirus (CMV) infections are usually diagnosed in immunocompromised patients. A 74-year-old male without any sig-nificant medical history visited our center because of abdominal pain and diarrhea which began about a month ago. Abdominal computed tomography revealed segmental enhanced bowel wall thickening on jejunum and single-balloon enteroscopy showed multiple geographic shaped ulcerations covered with exudates on proximal jejunum. Biopsy samples taken during endoscopic examination demonstrated necrotic fibrinopurulent tissue debris and benign ulcer. Nested-PCR analysis of CMV DNA from jejunal tissue was positive. The patient was finally diagnosed with CMV jejunitis and was treated by intravenous ganciclovir for 14 days after which, abdominal pain and diarrhea improved. Our case shows that CMV jejunitis can occur in an im-munocompetent adult as multiple jejunal ulcers which can be diagnosed using a single-balloon enteroscope.
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KEYWORD
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Cytomegalovirus, Double-balloon enteroscopy, Jejunitis
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