AI Article Synopsis
- Cytomegalovirus (CMV) infection can, though rarely, cause protein-losing gastropathy in otherwise healthy children, leading to symptoms like nausea and abdominal pain, but sometimes manifests only as generalized edema.
- A 5-year-old boy with no other symptoms presented with generalized edema and was found to have low albumin levels but no signs of protein loss in urine; gastrointestinal examinations revealed hypertrophic gastropathy.
- Testing confirmed a CMV infection, and the child recovered on his own after about a week, indicating that CMV can cause protein loss symptoms without typical gastrointestinal manifestations.
Article Abstract
Objective: Cytomegalovirus (CMV) infection may rarely lead to protein-losing gastropathy that presents with nausea, vomiting, abdominal pain, and edema in immunocompetent children, but extremely rarely with only generalized edema.
Clinical Presentation And Intervention: A previously healthy 5-year-old boy presented with generalized edema without any other symptoms. He had hypoalbuminemia but no proteinuria. He was evaluated for gastrointestinal protein loss, and hypertrophic gastropathy was revealed on esophagogastroduodenoscopy. Meanwhile, CMV infection was detected by serologic tests and polymerase chain reaction in the blood. He recovered spontaneously within a week.
Conclusion: CMV-related protein-losing gastropathy may present with generalized edema without any gastrointestinal symptoms.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7024873 | PMC |
| http://dx.doi.org/10.1159/000500511 | DOI Listing |
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