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

doi:10.14740/gr823w

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

Gastroenterology Res. 2017 Jun;10(3):193-195. doi: 10.14740/gr823w. Epub 2017 Jun 30.

Authors

Shou-Wu Lee^{1

2}, Chung-Wang Ko^{1

3}, Szu-Chia Liao¹, Chung-Shihn Chang¹, Hong-Zen Yeh^{1

3}, Chi-Sen Chang^{1

2}

Affiliations

¹ Division of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan, Republic of China.
² Department of Internal Medicine, Chung Shan Medical University, Taichung, Taiwan, Republic of China.
³ Department of Internal Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan, Republic of China.

PMID: 28725308
PMCID: PMC5505286
DOI: 10.14740/gr823w

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.

Keywords: Cytomegalovirus; Enteritis; Vitamin D deficiency.

Publication types

Case Reports