Abstract
Cytomegalovirus (CMV) infection has been commonly described in immunocompromised patients. Antiretroviral therapy in HIV patients and routine antiviral prophylaxis in transplant recipients have helped to curb the majority of clinically significant CMV infections. Patients undergoing chemotherapy are also closely monitored for leucopenia and opportunistic infections. We describe here a case of CMV esophagitis in a patient with a solid tumor and no prior exposure to chemotherapy. This patient was immunocompromised from his recent radiation therapy and concurrent steroid use. This case demonstrates the fact that even without any exposure to chemotherapy, extensive radiation treatment can lead to severe marrow suppression. Early endoscopy in such patients is recommended to avoid delay in the diagnosis of opportunistic infections.
Published Version
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