Esophageal Stricture Caused by CMV in a Non-HIV-Infected Renal Transplant Patient.

Autor: Tennant TC; Department of Internal Medicine Residency, William Beaumont Hospital, Royal Oak, MI., Pandey S; Department of Internal Medicine Residency, William Beaumont Hospital, Royal Oak, MI., Edhi AI; Department of Gastroenterology, William Beaumont Hospital, Royal Oak, MI., Batke M; Department of Gastroenterology, William Beaumont Hospital, Royal Oak, MI.
Jazyk: angličtina
Zdroj: ACG case reports journal [ACG Case Rep J] 2022 Aug 31; Vol. 9 (8), pp. e00836. Date of Electronic Publication: 2022 Aug 31 (Print Publication: 2022).
DOI: 10.14309/crj.0000000000000836
Abstrakt: Esophageal stricture due to cytomegalovirus (CMV) infection is an uncommon pathology, with most reported cases occurring in patients infected with human immunodeficiency virus. We report a renal transplant patient who presented with progressive dysphagia and weight loss for 2 years. Endoscopic examination revealed a long esophageal stricture with a necrotic lesion but no typical CMV esophageal ulcers; immunostains were positive for CMV. Dysphagia resolved after treatment with ganciclovir and serial esophageal dilations. We are presenting the first case of esophageal stricture due to CMV esophagitis in a renal transplant patient without human immunodeficiency virus infection and are reviewing current literature.
(© 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.)
Databáze: MEDLINE