CMV Esophagitis

An infection of the esophagus caused by the cytomegalovirus (CMV).

Causes, incidence, and risk factors

CMV esophagitis usually affects immunosuppressed or immunodeficient people. It causes esophageal swelling and painful swallowing. Oral lesions, often in the form of mouth ulcers , may also be present.

Signs and tests

  • EGD (esophagogastroduodenoscopy)
  • with a
  • biopsy
  • culture of cells obtained from an esophageal brushing
  • esophagogastroduodenoscopy
  • shows CMV by culture
  • blood and
  • urine culture shows CMV
  • cold agglutinins
  • may be drawn
  • CMV antigenemia in the blood may be positive
  • Treatment

    Most specialists suggest treatment with antiviral medications that are given through a vein ( intravenous ). Usually, ganciclovir or foscarnet are given.

    Expectations (prognosis)

    Esophagitis can usually be treated effectively. The outcome depends upon the underlying immunodeficiency that makes the person more susceptible to the infection.

    Complications

  • recurrent infection
  • infection at other sites
  • Calling your health care provider

    Call your health care provider if symptoms of esophagitis CMV develop, especially if you are immunosuppressed .

    Prevention

    Prevention of AIDS prevents opportunistic infections, such as those caused by the cytomegalovirus. (Opportunistic infections are infections by organisms that are not normally disease-producing, but take advantage of a situation, such as a damaged immune system.) AIDS patients who are effectively treated with antiretroviral therapy are much less likely to get CMV infection.

    Treatment Options – Sorted by Soonest Available

    URGENT CARE

    Save up to versus Emergency Room Visit

    Find Nearest Urgent Care

    Please enter Zip Code for nearest facility

    Cost:
    |
    Av. Wait Time: 3 Min.

    EMERGENCY ROOM

    Find Nearest ER

    Please enter Zip Code for nearest facility

    Cost:
    |
    Av. Wait Time: 1 - 8 Hrs.

    PRIMARY CARE

    Find Nearest Primary Care

    Please enter Zip Code for nearest facility

    Cost:
    |
    Av. Wait Time: 1 - 10 Days

    News related to "CMV Esophagitis "