• Med Princ Pract · Jan 2020

    Case Reports

    An Unusual Presentation of Cytomegalovirus Infection: Generalized Edema.

    • Ceyda Tuna Kirsaclioglu, Gulin Hizal, Esra Karakus, and Tulin Revide Sayli.
    • Department of Pediatric Gastroenterology, Hepatology and Nutrition, Turkish Republic Health Ministry, Ankara Child Health Diseases, Haematology Oncology Training and Research Hospital, Ankara, Turkey, ceytun@yahoo.com.
    • Med Princ Pract. 2020 Jan 1; 29 (1): 94-96.

    ObjectiveCytomegalovirus (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 InterventionA 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.ConclusionCMV-related protein-losing gastropathy may present with generalized edema without any gastrointestinal symptoms.© 2019 The Author(s) Published by S. Karger AG, Basel.

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