title: Cytomegalovirus cholangitis presenting with recurrent hemobilia.
abstract: Cytomegalovirus (CMV) cholangitis is a rare manifestation of CMV infection that has previously been described only in HIV-infected patients and solid-organ-transplant recipients. Reported here is a case of CMV cholangitis that occurred in a patient on chronic corticosteroid therapy who presented with recurrent hemobilia and biliary obstruction and was successfully treated with ganciclovir and cholecystostomy. A search of the medical literature revealed no previous case of this kind.
authors.affiliation: Division of Infectious Diseases, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN, 55905, USA. Tleyjeh.imad@mayo.edu
authors.forename: I M
authors.initials: IM
authors.lastname: Tleyjeh
authors.forename: G
authors.initials: G
authors.lastname: Georgescu
authors.forename: A
authors.initials: A
authors.lastname: Virk
authors.forename: E D
authors.initials: ED
authors.lastname: Barajas
authors.forename: Z
authors.initials: Z
authors.lastname: Mirzoyev
authors.forename: N
authors.initials: N
authors.lastname: Anavekar
authors.forename: L M
authors.initials: LM
authors.lastname: Baddour
mesh_terms: D000305:Adrenal Cortex Hormones / Q000009:adverse effects; D000998:Antiviral Agents / Q000627:therapeutic use; D002761:Cholangitis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D002767:Cholecystostomy; D003586:Cytomegalovirus Infections / Q000188:drug therapy / Q000209:etiology*; D015774:Ganciclovir / Q000627:therapeutic use; D006431:Hemobilia / Q000209:etiology* / Q000601:surgery; D006801:Humans; D017681:Hypereosinophilic Syndrome / Q000150:complications / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D012008:Recurrence
chemical_list: D000305:Adrenal Cortex Hormones; D000998:Antiviral Agents; D015774:Ganciclovir