An Unusual Presentation of Cytomegalovirus Infection: Generalized Edema

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TUNA KIRSAÇLIOĞLU C., Hizal G., Karakus E., Sayli T. R.

MEDICAL PRINCIPLES AND PRACTICE, cilt.29, sa.1, ss.94-96, 2020 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 29 Sayı: 1
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1159/000500511
  • Dergi Adı: MEDICAL PRINCIPLES AND PRACTICE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE, Directory of Open Access Journals
  • Sayfa Sayıları: ss.94-96
  • Anahtar Kelimeler: Edema, Gastritis, Immunocompetent host, Children, Cytomegalovirus, PROTEIN-LOSING GASTROPATHY, MENETRIERS-DISEASE, HELICOBACTER-PYLORI, CHILD, COINFECTION
  • Ankara Üniversitesi Adresli: Evet

Özet

Objective: Cytomegalovirus (CMV) infection may rarely lead to protein-losing gastropathy that presents with nausea, vomiting, abdominal pain, and edema in immunocompetent children, but extremely rarely with only generalized edema. Clinical Presentation and Intervention: A previously healthy 5-year-old boy presented with generalized edema without any other symptoms. He had hypoalbuminemia but no proteinuria. He was evaluated for gastrointestinal protein loss, and hypertrophic gastropathy was revealed on esophagogastroduodenoscopy. Meanwhile, CMV infection was detected by serologic tests and polymerase chain reaction in the blood. He recovered spontaneously within a week. Conclusion: CMV-related protein-losing gastropathy may present with generalized edema without any gastrointestinal symptoms.