A CASE REPORT OF CYTOMEGALOVIRUS INFECTION OF THE DUODENAL BULB IN PATIENT WITH IMMUNOBLASTIC LYMPHADENOPATHY (IBL) LIKE T-CELL LYMPHOMA

Abstract

A 63-years-old man with Immunoblastic Lymphadenopathy like T-cell lymphoma had upper abdominal pain and appetite-loss after chemotherapy. Upper gastroduodenal endoscopy revealed polypoid lesions in which top was pale of the duodenal bulbus. Histological finding showed cytomegalic inclusion body in the glandular endethelial cell. We suspected that the poypoid lesions of the duodenal bulb might be the first stage of cytomegarovirus infection following to the ulceration. Many postmortem cases have been reported, but endoscopically diagnosed cases are rare. There is no report of the duodenal lesions, and this is the first case of cyotomegalovirus infection of the duodenum.