A Case With Vitamin D Deficiency-Induced Cytomegalovirus Enteritis Presenting as Bowel Pseudo-Obstruction

Shou-Wu Lee, Chung-Wang Ko, Szu-Chia Liao, Chung-Shihn Chang, Hong-Zen Yeh, Chi-Sen Chang

Abstract


Cytomegalovirus (CMV) infection in small intestines has rarely been reported. We report a 67-year-old woman with abdominal pain for 2 weeks. Abdominal computed tomography (CT) revealed wall-thickening of the segmental small bowel. Enteroscopy disclosed discrete ulcers at the jejunum, and biopsy histopathology showed positive CMV immunoreactivity. Laboratory tests showed positive blood CMV with a viral load of 9,400 DNA copies/mL and high IgG titer and low vitamin D level. After antiviral therapy and oral vitamin D supply, her symptoms improved. Follow-up CT and enterology showed resolved enteritis.




Gastroenterol Res. 2017;10(3):193-195
doi: https://doi.org/10.14740/gr823w


Keywords


Cytomegalovirus; Enteritis; Vitamin D deficiency

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