APFED’s Educational Webinar Show Presents… Solutions from Pros

Do you know the signs of esophagitis?

Seema Aceves, doctor, Ph.D.
Section Medicine, Pediatrics and Associate Professor
Eosinophilic gastro intestinal Disorders Practice manager,
University of California, San Diego

Created via a cooperation involving the American Partnership for Eosinophilic Disorders http://www.APFED.org and the Centre for Handling chronic illness at the University of Michigan http://cmcd.sph.umich.edu. !

Endoscopy reveals big ulcers of the esophagus
Oesophagitis is the next most frequent gastro-intestinal (GI) indication of cytomegalovirus (CMV) infection. CMV esophagitis was reported in individuals experiencing long term renal dialysis patients that have undergone transplantation, individuals with human immuno-deficiency virus (HIV) infection or acquired immunodeficiency syndrome (HIV/AIDS), and individuals with ailments that were debilitating.

CMV GI disorder was described in the 60s. The typical time to improvement of CMV esophagitis after organ transplantation is 5- . Patients under-going bone-marrow transplantation may produce CMV illness considerably earlier, at a mean of 2-3 months with signs happening as early as 10 times after allogenic bone-marrow transplantation.
Patients with CMV esophagitis could have superimposed CMV colitis (in which attention in a nursing facility situation, might be mandatory).

Patients with HIV disease are at elevated danger because their CD4+ lymphocyte counts drop to less than one hundred cells/microL. In individuals with HIV/AIDS or HIV disease, CMV infection is an opportunistic infection that indicates a decrease in patient resistance.

CMV esophagitis was described in only 3 individuals who who was simply immuno-compromised by states besides HIV virus, HIV disease, or transplantation. No instances are reported in healthy hosts.
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