Cytomegalovirus hemorrhagic gastritis.
A 36-year-old male with acquired immune deficiency syndrome (AIDS) presented with intractable nausea and vomiting of 1 week's duration that was not attributable to his medications. An esophagogastroduodenoscopy showed hemorrhagic and necrotic gastric mucosa but no ulcers were found. Histopathology revealed viral inclusions consistent with cytomegalovirus (CMV) disease of the stomach. The patient received 6 weeks of intravenous ganciclovir with resolution of symptoms and endoscopic findings. Cytomegaloviral involvement of the stomach is rare, even in immunocompromised patients. Characteristic findings on upper endoscopy are punched-out gastric ulcers. This is a rare case of CMV disease of the stomach presenting as hemorrhagic, necrotic gastritis with inflammatory bridging.
Ruiz
A R
AR
Division of Gastroenterology, The George Washington University Medical Center, Washington, DC 20037, USA.
Borum
M L
ML
D017088:AIDS-Related Opportunistic Infections / Q000188:drug therapy / Q000503:physiopathology*; D000328:Adult; D000998:Antiviral Agents / Q000627:therapeutic use*; D003586:Cytomegalovirus Infections / Q000188:drug therapy / Q000503:physiopathology*; D015774:Ganciclovir / Q000627:therapeutic use*; D005756:Gastritis / Q000188:drug therapy / Q000503:physiopathology*; D006474:Hemorrhagic Disorders / Q000188:drug therapy / Q000503:physiopathology; D006801:Humans; D008297:Male; D009325:Nausea / Q000188:drug therapy / Q000821:virology; D014839:Vomiting / Q000188:drug therapy / Q000821:virology
D000998:Antiviral Agents; D015774:Ganciclovir