Esophageal Stricture Caused by CMV in a Non-HIV-Infected Renal Transplant Patient. Issue 8 (31st August 2022)

• Record Type: Journal Article
• Authors: Tennant, Tamera C.; Pandey, Samiksha; Edhi, Ahmed I.; Batke, Mihaela
• Is Part Of: ACG Case Reports Journal. Volume 9:Issue 8(2022)
• Page Start: e00836
• Publication Date: 2022-08-31
• DOI: 10.14309/crj.0000000000000836
• Languages: English
• ISSNs: 2326-3253

Abstract

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.