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Feb 9, 20201 min read

CYTOMEGALOVIRUS ESOPHAGITIS


Lesion: Esophageal ulceration and vasculitis caused by CMV infection at multiple sites

  • Biopsy: ≥ 10 specimens from the base of the ulcer. ∆+: Histology identification of CMV by immunohistochemical and direct fluorescence staining

  • Blood test : antigen, viral culture, PCR

  • Others test: Immunodeficiency, renal failure, malignancy, transplanted organs, HIV, steroid or immunosuppressive therapy

  • Treatment: Treatment primary disease: immunodeficiency… Antivirus: Ganciclovir/forcarnet IV, oral Valganciclovir

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