Open AccessGastroduodenal Sarcoidosis With Concomitant Cytomegalovirus Gastritis
Author(s) -
Kristel Leung,
Usman Khan,
Iris Teo,
Paul D. James,
Jeffrey D. McCurdy
Publication year - 2020
Publication title -
acg case reports journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.112
H-Index - 4
ISSN - 2326-3253
DOI - 10.14309/crj.0000000000000394
Subject(s) - medicine , epigastric pain , sarcoidosis , gastritis , cytomegalovirus , gastroenterology , nausea , prednisone , concomitant , vomiting , duodenitis , stomach , immunology , virus , viral disease , herpesviridae
Gastrointestinal sarcoidosis in the absence of pulmonary disease is rare. Likewise, cytomegalovirus (CMV) reactivation in the stomach is also rare. We present a 67-year-old woman with symptomatic CMV gastritis and gastroduodenal sarcoidosis who presented with epigastric pain, nausea, and vomiting. Initial gastric biopsies revealed CMV gastritis. Repeat assessment demonstrated worsening disease requiring antiviral treatment. After this, further investigations into ongoing epigastric pain demonstrated noncaseating granulomas on repeat gastrointestinal biopsies. A diagnosis of sarcoidosis was established and treated with prednisone to resolution.