{"id":"https://openalex.org/W4403719997","doi":"https://doi.org/10.14309/01.ajg.0001049180.69392.bd","title":"S4953 CMV Enteritis: A Rare Culprit of Protein Losing Enteropathy in an Immunocompetent Adult","display_name":"S4953 CMV Enteritis: A Rare Culprit of Protein Losing Enteropathy in an Immunocompetent Adult","publication_year":2024,"publication_date":"2024-10-01","ids":{"openalex":"https://openalex.org/W4403719997","doi":"https://doi.org/10.14309/01.ajg.0001049180.69392.bd"},"language":"en","primary_location":{"id":"doi:10.14309/01.ajg.0001049180.69392.bd","doi":"https://doi.org/10.14309/01.ajg.0001049180.69392.bd","is_oa":false,"landing_page_url":"https://doi.org/10.14309/01.ajg.0001049180.69392.bd","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Gastroenterology","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5075455201","display_name":"Nancy Mayer","orcid":"https://orcid.org/0009-0007-8735-2154","observed_orcids":["https://orcid.org/0009-0007-8735-2154"]},"institutions":[{"id":"https://openalex.org/I2802992155","display_name":"Riverview Medical Center","ror":"https://ror.org/011qwff60","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802992155","https://openalex.org/I4210148589"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Nancy Mayer","raw_affiliation_strings":["Riverside Medical Center, Bourbonnais, IL;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Riverside Medical Center, Bourbonnais, IL;","institution_ids":["https://openalex.org/I2802992155"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032372020","display_name":"Vijay Kata","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802992155","display_name":"Riverview Medical Center","ror":"https://ror.org/011qwff60","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802992155","https://openalex.org/I4210148589"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vijay Kata","raw_affiliation_strings":["Riverside Medical Center, Bourbonnais, IL;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Riverside Medical Center, Bourbonnais, IL;","institution_ids":["https://openalex.org/I2802992155"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Dhaval Patel","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802992155","display_name":"Riverview Medical Center","ror":"https://ror.org/011qwff60","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802992155","https://openalex.org/I4210148589"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dhaval Patel","raw_affiliation_strings":["Riverside Medical Center, Bourbonnais, IL;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Riverside Medical Center, Bourbonnais, IL;","institution_ids":["https://openalex.org/I2802992155"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085474234","display_name":"THOMAS M BETLEJ","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802992155","display_name":"Riverview Medical Center","ror":"https://ror.org/011qwff60","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802992155","https://openalex.org/I4210148589"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thomas Betlej","raw_affiliation_strings":["Riverside Medical Center, Bourbonnais, IL;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Riverside Medical Center, Bourbonnais, IL;","institution_ids":["https://openalex.org/I2802992155"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040525385","display_name":"Daniel Errampalli","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Daniel Errampalli","raw_affiliation_strings":["Digestive Disease Consultants, Bourbonnais, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Digestive Disease Consultants, Bourbonnais, IL","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Thomas O'Connor","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Thomas O'Connor","raw_affiliation_strings":["Digestive Disease Consultants, Bourbonnais, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Digestive Disease Consultants, Bourbonnais, IL","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Matthew Kaplan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Matthew Kaplan","raw_affiliation_strings":["Digestive Disease Consultants, Bourbonnais, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Digestive Disease Consultants, Bourbonnais, IL","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5072830848","display_name":"Nikhil Bhargava","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nikhil Bhargava","raw_affiliation_strings":["Digestive Disease Consultants, Bourbonnais, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Digestive Disease Consultants, Bourbonnais, IL","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5075455201"],"corresponding_institution_ids":["https://openalex.org/I2802992155"],"apc_list":{"value":4390,"currency":"USD","value_usd":4390},"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"119","issue":"10S","first_page":"S3120","last_page":"S3121"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10981","display_name":"Cytomegalovirus and herpesvirus research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10981","display_name":"Cytomegalovirus and herpesvirus research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10858","display_name":"Clinical Nutrition and Gastroenterology","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11348","display_name":"Celiac Disease Research and Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cytomegalovirus-enteritis","display_name":"cytomegalovirus enteritis","score":0.9919999837875366},{"id":"https://openalex.org/keywords/protein-losing-enteropathy","display_name":"protein-losing enteropathy","score":0.8989999890327454},{"id":"https://openalex.org/keywords/immunocompetent-adult","display_name":"immunocompetent adult","score":0.7590000033378601},{"id":"https://openalex.org/keywords/duodenal-diseases","display_name":"duodenal diseases","score":0.7009999752044678},{"id":"https://openalex.org/keywords/erosive-gastritis","display_name":"erosive gastritis","score":0.7540000081062317},{"id":"https://openalex.org/keywords/anasarca","display_name":"anasarca","score":0.6890000104904175},{"id":"https://openalex.org/keywords/electrolyte-imbalance","display_name":"electrolyte imbalance","score":0.6819999814033508},{"id":"https://openalex.org/keywords/valganciclovir","display_name":"valganciclovir","score":0.9430000185966492},{"id":"https://openalex.org/keywords/antiviral-therapy","display_name":"antiviral therapy","score":0.8379999995231628},{"id":"https://openalex.org/keywords/cmv-serology","display_name":"CMV serology","score":0.6370000243186951},{"id":"https://openalex.org/keywords/immunohistochemistry","display_name":"immunohistochemistry","score":0.5809999704360962}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9456556439399719},{"id":"https://openalex.org/C2778826181","wikidata":"https://www.wikidata.org/wiki/Q3310538","display_name":"Culprit","level":3,"score":0.9040367603302002},{"id":"https://openalex.org/C2778426112","wikidata":"https://www.wikidata.org/wiki/Q3055380","display_name":"Enteropathy","level":3,"score":0.8739955425262451},{"id":"https://openalex.org/C2776924286","wikidata":"https://www.wikidata.org/wiki/Q284070","display_name":"Protein losing enteropathy","level":4,"score":0.8631417751312256},{"id":"https://openalex.org/C2780031333","wikidata":"https://www.wikidata.org/wiki/Q854353","display_name":"Enteritis","level":2,"score":0.7894011735916138},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.35568422079086304},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.31047219038009644},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.1127849817276001},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.14309/01.ajg.0001049180.69392.bd","doi":"https://doi.org/10.14309/01.ajg.0001049180.69392.bd","is_oa":false,"landing_page_url":"https://doi.org/10.14309/01.ajg.0001049180.69392.bd","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Gastroenterology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9922999739646912}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4412595057","https://openalex.org/W4416030954","https://openalex.org/W2720052422","https://openalex.org/W3136018959","https://openalex.org/W2980109067","https://openalex.org/W4381801736","https://openalex.org/W7096730358","https://openalex.org/W1491369703","https://openalex.org/W1815259282","https://openalex.org/W1745619365"],"abstract_inverted_index":{"Introduction:":[0],"Protein":[1,98],"losing":[2],"enteropathies":[3],"(PLE)":[4],"are":[5],"a":[6,21,34,45,48,318],"known":[7],"complication":[8],"of":[9,25,36,50,113,130,133,161,165,171,191,217,233,258,270,279,290,307,317,323,335],"inflammatory":[10,140],"disorders,":[11],"mucosal":[12],"permeability,":[13],"and":[14,64,83,95,105,146,168,231,326],"lymphatic":[15],"obstructions.":[16],"Cytomegalovirus":[17],"(CMV)":[18],"enteritis":[19,178,203,250],"is":[20,187,204,241,254],"rarely":[22],"described":[23],"culprit":[24],"PLE":[26,37,186,226,319,325],"in":[27,44,212,243,248,251,337],"an":[28,40],"otherwise":[29],"healthy":[30,56],"person.":[31],"We":[32],"present":[33],"case":[35],"due":[38,200],"to":[39,201],"acute":[41],"CMV":[42,153,177,202,249,262,271],"infection":[43,147],"patient":[46,76,286],"without":[47,265],"history":[49],"immunosuppression.":[51],"Case":[52],"Description/Methods:":[53],"A":[54,256],"previously":[55],"60-year-old":[57],"woman":[58],"presented":[59],"for":[60,67,139,225,342],"intractable":[61],"nausea,":[62],"vomiting,":[63],"watery":[65],"diarrhea":[66],"2":[68],"weeks.":[69],"Intravenous":[70],"fluids":[71],"were":[72,107,137],"initiated,":[73],"however,":[74],"the":[75,134,188,195,234,268,277,285,338],"quickly":[77],"developed":[78],"anasarca,":[79],"bilateral":[80],"pleural":[81],"effusions,":[82],"pronounced":[84],"electrolyte":[85,294],"disturbances":[86],"despite":[87],"significant":[88,302],"replacement.":[89],"Recent":[90],"esophagogastroduodenoscopy":[91],"demonstrated":[92],"erosive":[93],"gastritis":[94],"ulcerative":[96,172],"duodenitis.":[97],"levels":[99,314],"including":[100],"IgG,":[101],"IgM,":[102],"IgA,":[103],"albumin,":[104],"transferrin":[106],"low.":[108],"She":[109,157],"displayed":[110],"no":[111,169],"signs":[112],"malnutrition,":[114],"proteinuria,":[115],"or":[116],"synthetic":[117],"liver":[118],"dysfunction.":[119],"Protein-losing":[120,198],"enteropathy":[121,199],"was":[122,155,179,299],"confirmed":[123,181],"with":[124,163,207,239,261,292,301,309],"elevated":[125],"fecal":[126],"alpha":[127],"1-antitrypsin":[128],"clearance":[129],"63mL/day.":[131],"Histopathology":[132],"duodenal":[135,221],"samples":[136],"negative":[138],"bowel":[141],"disease,":[142,145],"lymphoma,":[143],"Whipple\u2019s":[144],"such":[148],"as":[149,315],"H.":[150],"pylori,":[151],"but":[152],"serology":[154],"positive.":[156],"completed":[158],"3":[159],"weeks":[160],"valganciclovir":[162],"resolution":[164],"her":[166],"symptoms":[167],"evidence":[170],"duodenitis":[173],"on":[174],"repeat":[175],"endoscopy.":[176],"later":[180],"by":[182,344],"CMV-specific":[183],"immunohistochemistry.":[184,345],"Discussion:":[185],"excessive":[189],"loss":[190],"serum":[192,312],"proteins":[193],"through":[194],"gastrointestinal":[196],"tract.":[197],"seldom":[205],"reported,":[206],"only":[208,215],"10":[209],"documented":[210],"cases":[211,219],"literature.":[213],"Additionally,":[214],"1":[216],"those":[218],"involved":[220],"disease.":[222,236],"The":[223],"treatment":[224,232,238,298],"typically":[227],"includes":[228],"dietary":[229],"supplementation":[230],"underlying":[235],"While":[237],"antivirals":[240],"recommended":[242],"immunocompromised":[244],"individuals,":[245],"its":[246],"role":[247],"immunocompetent":[252,259],"individuals":[253],"controversial.":[255],"majority":[257],"patients":[260,328],"disease":[263,272],"recover":[264],"intervention,":[266],"however":[267],"severity":[269],"must":[273],"be":[274],"balanced":[275],"against":[276],"risk":[278],"medication":[280],"toxicity.":[281],"In":[282],"this":[283],"case,":[284],"required":[287],"multiple":[288],"days":[289],"hospitalization":[291],"persistent":[293],"derangements;":[295],"thus":[296],"antiviral":[297],"initiated":[300],"clinical":[303],"improvement.":[304],"Prompt":[305],"recognition":[306],"anasarca":[308],"concurrent":[310],"low":[311],"protein":[313],"manifestations":[316],"will":[320],"hasten":[321],"diagnosis":[322],"CMV-associated":[324],"enhance":[327],"outcomes":[329],"(see":[330],"Figure":[331],"1).Figure":[332],"1.:":[333],"Cluster":[334],"cells":[336],"lamina":[339],"propria":[340],"positive":[341],"cytomegalovirus":[343]},"counts_by_year":[],"updated_date":"2026-10-14T16:39:01.820549","created_date":"2024-10-25T00:00:00"}
