Cytomegalovirus infection other diagnostic studies: Difference between revisions
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==Other Diagnostic Tests== | ==Other Diagnostic Tests== | ||
*Upper GI [[endoscopy]] will reveal ulcers in the distal [[esophagus]] and diagnosis is confirmed by the demonstration of characteristic intranuclear [[inclusion bodies]] in the [[endothelial cells]] of the [[biopsy]] specimen. Culture of [[cytomegalovirus]] from the esophageal [[biopsy]] is not sufficient to confirm the diagnosis in the absence of microscopic findings as majority of patients with low [[CD4]] counts have positive culture. | *Upper GI [[endoscopy]] will reveal ulcers in the distal [[esophagus]] and diagnosis is confirmed by the demonstration of characteristic intranuclear [[inclusion bodies]] in the [[endothelial cells]] of the [[biopsy]] specimen. Culture of [[cytomegalovirus]] from the esophageal [[biopsy]] is not sufficient to confirm the diagnosis in the absence of microscopic findings as majority of patients with low [[CD4]] counts have positive culture.<ref name="pmid18627655">{{cite journal| author=Baroco AL, Oldfield EC| title=Gastrointestinal cytomegalovirus disease in the immunocompromised patient. | journal=Curr Gastroenterol Rep | year= 2008 | volume= 10 | issue= 4 | pages= 409-16 | pmid=18627655 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18627655 }} </ref> | ||
*[[Cytomegalovirus]] [[pneumonitis]] is a uncommon condition and is usually asymptomatic. It is usually diagnosed on [[bronchoalveolar lavage]] and co-exists with an underlying pulmonary infection.<ref name="urlwww.idsociety.org">{{cite web |url=https://www.idsociety.org/uploadedFiles/HIVMA/Guidelines_Patient_Care/HIVMA_Standards_Practice_Guidelines/HIV_Guidelines/Guidelines_Content/adult_oi.pdf |title=www.idsociety.org |format= |work= |accessdate=}}</ref> | *[[Cytomegalovirus]] [[pneumonitis]] is a uncommon condition and is usually asymptomatic. It is usually diagnosed on [[bronchoalveolar lavage]] and co-exists with an underlying pulmonary infection.<ref name="urlwww.idsociety.org">{{cite web |url=https://www.idsociety.org/uploadedFiles/HIVMA/Guidelines_Patient_Care/HIVMA_Standards_Practice_Guidelines/HIV_Guidelines/Guidelines_Content/adult_oi.pdf |title=www.idsociety.org |format= |work= |accessdate=}}</ref> | ||
===Microscopic Pathology=== | ===Microscopic Pathology=== | ||
Revision as of 14:46, 2 June 2017
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Cytomegalovirus infection Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]
Overview
Other diagnostic studies helpful for the diagnosis of CMV infection include upper GI endoscopy, colonoscopy, serology and PCR.
Other Diagnostic Tests
- Upper GI endoscopy will reveal ulcers in the distal esophagus and diagnosis is confirmed by the demonstration of characteristic intranuclear inclusion bodies in the endothelial cells of the biopsy specimen. Culture of cytomegalovirus from the esophageal biopsy is not sufficient to confirm the diagnosis in the absence of microscopic findings as majority of patients with low CD4 counts have positive culture.[1]
- Cytomegalovirus pneumonitis is a uncommon condition and is usually asymptomatic. It is usually diagnosed on bronchoalveolar lavage and co-exists with an underlying pulmonary infection.[2]
Microscopic Pathology
- Demonstration of characteristic intranuclear inclusion bodies in the biopsy from esophagus and colon confirms the diagnosis of esophagitis and colitis.[2]
CSF Analysis
- CMV Encephalitis
- Cerebrospinal fluid demonstrates lymphocytic pleocytosis, low-to-normal glucose levels, and normal-to-elevated protein levels.[2][3][4]
- CMV polyradiculomyelopathy
- Cerebrospinal fluid analysis demonstrates neutrophilic pleocytosis, low glucose levels and elevated protein levels.[2][3]
References
- ↑ Baroco AL, Oldfield EC (2008). "Gastrointestinal cytomegalovirus disease in the immunocompromised patient". Curr Gastroenterol Rep. 10 (4): 409–16. PMID 18627655.
- ↑ 2.0 2.1 2.2 2.3 "www.idsociety.org" (PDF).
- ↑ 3.0 3.1 Griffiths P (2004). "Cytomegalovirus infection of the central nervous system". Herpes. 11 Suppl 2: 95A–104A. PMID 15319096.
- ↑ Maschke M, Kastrup O, Diener HC (2002). "CNS manifestations of cytomegalovirus infections: diagnosis and treatment". CNS Drugs. 16 (5): 303–15. PMID 11994020.