https://wikem.org/w/index.php?action=history&feed=atom&title=CMV_esophagitis%2FenCMV esophagitis/en - Revision history2026-04-17T16:39:45ZRevision history for this page on the wikiMediaWiki 1.38.2https://wikem.org/w/index.php?title=CMV_esophagitis/en&diff=380352&oldid=prevFuzzyBot: Updating to match new version of source page2026-01-07T12:28:04Z<p>Updating to match new version of source page</p>
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==Background==<br />
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*[[Special:MyLanguage/Cytomegalovirus|Cytomegalovirus]] (CMV) gastrointestinal disease is an uncommon but serious complication of [[Special:MyLanguage/AIDS|AIDS]].<br />
*The diagnosis of CMV gastrointestinal disease should be suspected in patients with CD4 cell counts <50 cells/microL who present with symptoms of esophagitis, gastritis, enteritis, or colitis.<br />
*The incidence of CMV gastrointestinal disease has decreased substantially since antiretroviral therapy (ART) became available <br />
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==Clinical Features==<br />
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*[[Special:MyLanguage/Odynophagia|Odynophagia]]<br />
*[[Special:MyLanguage/Dysphagia|Dysphagia]]<br />
*[[Special:MyLanguage/Fever|Fever]]<br />
*[[Special:MyLanguage/Nausea|Nausea]]<br />
*[[Special:MyLanguage/chest pain|Substernal]] burning pain<br />
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==Differential Diagnosis==<br />
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{{Esophagitis types}}<br />
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{{CMV types}}<br />
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==Evaluation==<br />
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==Management==<br />
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**[[Special:MyLanguage/Ganciclovir|Ganciclovir]]: 5mg/kg/dose IV q12h<br />
**[[Special:MyLanguage/Foscarnet|Foscarnet]]: 60mg/kg/dose q8h or 90mg/kg/dose q12h<br />
**[[Special:MyLanguage/Valganciclovir|Valganciclovir]]: 900mg PO twice daily <br />
***May be used for induction therapy, in place of intravenous [[Special:MyLanguage/ganciclovir|ganciclovir]], in patients who can tolerate and absorb oral medications <br />
**The recommended duration of therapy for CMV gastrointestinal disease in patients with AIDS is 3-6 weeks <br />
**Chronic maintenance therapy is not recommended for CMV gastrointestinal disease unless there is concurrent retinitis or recurrent gastrointestinal disease after induction therapy has been discontinued.<br />
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==Disposition==<br />
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==See Also==<br />
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*[[Special:MyLanguage/Cytomegalovirus (CMV) infection|Cytomegalovirus (CMV) infection]]<br />
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==External Links==<br />
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==References==<br />
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[[Category:ID]] [[Category:GI]]</div>FuzzyBot