Treatment and management of CMV duodenitis in a patient with temporal arteritis

Zain Majid, Shoaib Ahmed, Raja Taha Yaseen, Rida Shahab, Muhammad Mubarak

Abstract


An elderly female, with a definitive diagnosis of temporal arteritis which was under treatment, referred  to  our  hospital  with  weakness,  epigastric  pain  along  with  oral  ulcerations.  Before admission, the patient had developed right sided throbbing headache along with decrease in vision of her right eye with an ESR of 72 mm/h. She was diagnosed as having temporal arteritis and  was  administered  steroids  and  azathioprine.  After  a  couple  of  months,  patient  started having generalized weakness, epigastric pain and oral ulceration and then her intake of solid food decreased. Patient was kept on liquid diet that was delivered by a nasogastric tube. Upper GI endoscopy along with biopsy revealed cytomegalovirus (CMV) duodenitis. She was started
on oral ganciclovir and later her symptoms improved.


Key point
Our  case  shows  that  those  patients  on immunosuppressive therapy who developed GI symptoms should be evaluated for CMV infections.




Citation: Majid Z, Ahmed S, Yaseen RT, Shahab R, Mubarak M. Treatment and management of CMV duodenitis in a patient with temporal arteritis
Immunopathol Persa. 2018;4(1):e02. DOI: 10.15171/ipp.2018.02.

 

 

 


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