A case of CMV disease of the jejunum in a patient with non-Hodgkin's lymphoma.
CMV infection may occur anywhere in the gastrointestinal tract. Among the small intestine, ileum is the most common site of CMV disease and infection of jejunum is a rare one in patients with CMV gastroenteritis. Although rare, the reason why the recognition of this diagnosis is important is that it cause the lethal hemorrhage and perforation of gastrointestinal tract when its diagnosis and treatment was delayed. Rapid diagnosis are able to using the immunohistochemical stain in shell vial culture of infected specimen or peripheral neutrophils preparation in viremic patients within 8 to 36 hours. The treatment of choice is antiviral agent or surgical resection. We experienced a case of CMV disease of jejunum in patient with non-Hodgkin's lymphoma who showed severe ulceration in jejunum and massive intestinal hemorrhage, and he survived after successful treatment with segmental resection of jejunum and intravenous ganciclovir.
Han
K J
KJ
Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea.
Jung
I S
IS
Kim
C K
CK
Park
S K
SK
Kim
D W
DW
Baick
S H
SH
Won
J H
JH
Hong
D S
DS
Hwang
S D
SD
Moon
C
C
Park
H S
HS
D000328:Adult; D000998:Antiviral Agents / Q000627:therapeutic use; D003586:Cytomegalovirus Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D018572:Disease-Free Survival; D004751:Enteritis / Q000150:complications / Q000601:surgery / Q000821:virology; D015774:Ganciclovir / Q000627:therapeutic use; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007579:Jejunal Diseases / Q000150:complications* / Q000601:surgery / Q000821:virology; D008228:Lymphoma, Non-Hodgkin / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D009894:Opportunistic Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
D000998:Antiviral Agents; D015774:Ganciclovir