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Published on: February 10, 2017
Esophageal Stricture Caused by CMV in a Non-HIV-Infected Renal Transplant Patient
Tamera C Tennant1, Samiksha Pandey1, Ahmed I Edhi2
1Department of Internal Medicine Residency, William Beaumont Hospital, Royal Oak, MI.
Abstract:
Esophageal stricture due to cytomegalovirus (CMV) infection is an uncommon pathology, with most reported cases occurring in patients infected with human immunodeficiency virus. We report a renal transplant patient who presented with progressive dysphagia and weight loss for 2 years. Endoscopic examination revealed a long esophageal stricture with a necrotic lesion but no typical CMV esophageal ulcers; immunostains were positive for CMV. Dysphagia resolved after treatment with ganciclovir and serial esophageal dilations. We are presenting the first case of esophageal stricture due to CMV esophagitis in a renal transplant patient without human immunodeficiency virus infection and are reviewing current literature.
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