Cytomegalovirus related fatal duodenal diverticular bleeding: Case report and literature review

Jasbir Makker, Bharat Bajantri, Sailaja Sakam, Sridhar Chilimuri

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Involvement of gastrointestinal tract by cytomegalovirus (CMV) is common. CMV infections mainly run their course without any clinical signs in immunocompetent hosts. In contrast, CMV can cause severe infections with serious consequences in a immunocompromised state typically associated with organ transplants, highly immunosuppressive cancer chemotherapy, advanced HIV infection or treatment with corticosteroids. The incidence and severity of these manifestations of CMV is directly proportional with the degree of cellular immune dysfunction, i.e., CD8+ Cytotoxic T-cell response. Clinical manifestations of CMV can become apparent in different situations including reactivation of CMV from latency, primary infection in a seronegative host, or exposure of a seropositive host to a new strain of CMV. As the clinical signs of CMV in immunodeficient patients are usually sparse, physicians should be highly vigilant about CMV infection, a treatable condition that otherwise is associated with significant mortality. Here we report a rare case of severe gastrointestinal CMV infection with sustained immunodeficiency secondary to treatment with steroids manifesting as fatal duodenal diverticular bleeding.

Original languageEnglish
Pages (from-to)7166-7174
Number of pages9
JournalWorld Journal of Gastroenterology
Issue number31
StatePublished - 21 Aug 2016
Externally publishedYes


  • Cytomegalovirus
  • Duodenal bleed
  • Duodenal hemorrhage
  • Gastrointestinal


Dive into the research topics of 'Cytomegalovirus related fatal duodenal diverticular bleeding: Case report and literature review'. Together they form a unique fingerprint.

Cite this