Gastrointestinal cytomegalovirus disease secondary to measles in an immunocompetent infant: A case report

Figure 1 Abdominal plain. A and B: Supine (A) and lateral (B) abdominal plain films showed a large stomach, and no free gas was found in the small intestine, colon, or rectum. A nasogastric tube was coiled in the stomach; C: The iopromide administered by gastric tube did not enter the duodenum; D: Re-examination of abdominal film revealed decreased gas in the stomach and a few inflatable intestines.

Figure 2 Gastroscopic findings. A gastroscope was inserted into the horizontal part of the duodenum. Hyperemia, edema, lymphoid hyperplasia, focal ulceration, and pseudotumor formation were seen in the stomach and duodenum. A: Gastric fundus; B and C: Duodenal bulb; D: Dilatation of proximal duodenum.

Figure 3 Colonoscopic findings. A colonoscope reached the splenic flexure of the colon. It showed hyperemia, roughness, stiffness, friability, and easy bleeding of the mucosa. A: Rectum; B: Sigmoid colon; C: Descending colon.

Figure 4 Gastrointestinal histopathologic findings. Histopathologic photomicrographs of gastric, duodenal, descending colony-like, sigmoid colony-like, and rectal specimens. A: Inflammatory cell infiltration and characterized cytomegalic cells (arrows) containing eosinophilic intranuclear inclusions (hematoxylin and eosin: × 400); B: Owl’s eye inclusions (arrows) in cytomegalovirus-infected cells (immunohistochemical staining: × 400).