Asymptomatic cytomegalovirus gastritis in an immunocompetent COVID-19 patient: a case report

A number of complications are associated with COVID-19 due to reduced immunity. Of these, opportunistic infections are of great significance because of their atypical presentation and low detection rates. Co-infection of various parts of the gastrointestinal system with cytomegalovirus (CMV) is a c...

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Main Authors: Fizza Najeeb, Maria Iqbal, Syed Mohammad Mehmood Abbas, Tahir Iqbal
Format: Article
Language:English
Published: Pakistan Medical Association 2024-06-01
Series:Journal of the Pakistan Medical Association
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Online Access:https://jpma.org.pk/index.php/public_html/article/view/10019
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author Fizza Najeeb
Maria Iqbal
Syed Mohammad Mehmood Abbas
Tahir Iqbal
author_facet Fizza Najeeb
Maria Iqbal
Syed Mohammad Mehmood Abbas
Tahir Iqbal
author_sort Fizza Najeeb
collection DOAJ
description A number of complications are associated with COVID-19 due to reduced immunity. Of these, opportunistic infections are of great significance because of their atypical presentation and low detection rates. Co-infection of various parts of the gastrointestinal system with cytomegalovirus (CMV) is a common occurrence in COVID-19 patients. Dysphagia and odynophagia are the main complaints of oesophagitis caused by CMV. Colitis due to CMV presents with melena, diarrhoea, or constipation. However, gastritis due to the same agent can be asymptomatic or associated with atypical symptoms like fever and epigastric pain. Cytomegalovirus gastritis can be fatal if not detected early. Hence, continued monitoring of routine baseline investigations is imperative until the complete resolution of COVID-19, as prompt diagnosis improves the outcomes. Keywords: Cytomegalovirus, Cytomegalovirus Infections, case report, COVID-19.
format Article
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institution DOAJ
issn 0030-9982
language English
publishDate 2024-06-01
publisher Pakistan Medical Association
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series Journal of the Pakistan Medical Association
spelling doaj-art-3eae82fe49a4473c83e216f8d5a4cf242025-08-20T02:41:26ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822024-06-0174710.47391/JPMA.10019Asymptomatic cytomegalovirus gastritis in an immunocompetent COVID-19 patient: a case reportFizza Najeeb0Maria Iqbal1Syed Mohammad Mehmood Abbas2Tahir Iqbal3Final Year MBBS Student, Shifa International Hospital, Islamabad, PakistanShifa International Hospital, Islamabad, PakistanDepartment of Medicine, Shifa International Hospital, Islamabad, PakistanDepartment of Medicine, Shifa International Hospital, Islamabad, Pakistan A number of complications are associated with COVID-19 due to reduced immunity. Of these, opportunistic infections are of great significance because of their atypical presentation and low detection rates. Co-infection of various parts of the gastrointestinal system with cytomegalovirus (CMV) is a common occurrence in COVID-19 patients. Dysphagia and odynophagia are the main complaints of oesophagitis caused by CMV. Colitis due to CMV presents with melena, diarrhoea, or constipation. However, gastritis due to the same agent can be asymptomatic or associated with atypical symptoms like fever and epigastric pain. Cytomegalovirus gastritis can be fatal if not detected early. Hence, continued monitoring of routine baseline investigations is imperative until the complete resolution of COVID-19, as prompt diagnosis improves the outcomes. Keywords: Cytomegalovirus, Cytomegalovirus Infections, case report, COVID-19. https://jpma.org.pk/index.php/public_html/article/view/10019CytomegalovirusCytomegalovirus InfectionsCase ReportCOVID-19
spellingShingle Fizza Najeeb
Maria Iqbal
Syed Mohammad Mehmood Abbas
Tahir Iqbal
Asymptomatic cytomegalovirus gastritis in an immunocompetent COVID-19 patient: a case report
Journal of the Pakistan Medical Association
Cytomegalovirus
Cytomegalovirus Infections
Case Report
COVID-19
title Asymptomatic cytomegalovirus gastritis in an immunocompetent COVID-19 patient: a case report
title_full Asymptomatic cytomegalovirus gastritis in an immunocompetent COVID-19 patient: a case report
title_fullStr Asymptomatic cytomegalovirus gastritis in an immunocompetent COVID-19 patient: a case report
title_full_unstemmed Asymptomatic cytomegalovirus gastritis in an immunocompetent COVID-19 patient: a case report
title_short Asymptomatic cytomegalovirus gastritis in an immunocompetent COVID-19 patient: a case report
title_sort asymptomatic cytomegalovirus gastritis in an immunocompetent covid 19 patient a case report
topic Cytomegalovirus
Cytomegalovirus Infections
Case Report
COVID-19
url https://jpma.org.pk/index.php/public_html/article/view/10019
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AT syedmohammadmehmoodabbas asymptomaticcytomegalovirusgastritisinanimmunocompetentcovid19patientacasereport
AT tahiriqbal asymptomaticcytomegalovirusgastritisinanimmunocompetentcovid19patientacasereport