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CMV gastroenteritis/colitis

Alternative names:

colitis - cytomegalovirus; gastroenteritis - cytomegalovirus; esophagitis - cytomegalovirus; gastrointestinal CMV disease

Symptoms:

fever
diarrhea
nausea & vomiting
abdominal pain
swallowing difficulty or pain with swallowing
weight loss
gastrointestinal bleeding

Signs and tests:

identification of CMV on tissue biopsy
viral culture of tissue biopsy (esophageal, gastric, duodenal, or colonic)
DNA in situ hybridization or PCR of tissue biopsy specimen
CMV antigen assay (blood, urine, other fluids)
upper endoscopy
colonoscopy
CMV serology by IFA
upper GI and small bowel series
barium enema
stool culture to rule out other organisms

Update Date: 05/08/00
Ronald J. Lew, MD Hospital of the University of Pennsylvania
Division, Gastroenterology - Fellow
VeriMed Healthcare Network

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