Ammar Shobair
King AbdulAziz Medical City, Saudi Arabia
Title: Cytomegalovirus enteritis with jejunal perforation in a patient diagnosed later with Churg-Strauss Syndrome
Biography
Biography: Ammar Shobair
Abstract
Cytomegalovirus (CMV) infection of the gastrointestinal tract has been reported most frequently in the setting of immunodeficiency. The whole gastrointestinal tract can be affected; however, the small bowel is rarely affected. We report a case of CMV enteritis with jejunal perforation in a 56-year-old man with a history of abdominal pain and diarrhea with tenderness and guarding at right lower quadrant of his abdomen. Computed tomography showed segmental jejunal wall thickening. Perforation happened after several days of uneventful gastrosopy and colonoscopy. The jejunum showed small perforation at mid of jejunum and areas of very thin wall looked like pending perforation. The microscopic findings revealed acute ulcerating CMV infection and acute serositis. The final diagnosis was CMV-associated jejunitis with a jejunal perforation associated with CMV gastritis. The patient diagnosed later with Churg Strauss syndrome.