PMID- 32461902 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2214-2509 (Print) IS - 2214-2509 (Electronic) IS - 2214-2509 (Linking) VI - 21 DP - 2020 TI - Cytomegalovirus-associated esophageal stricture as a manifestation of the immune reconstitution inflammatory syndrome. PG - e00795 LID - 10.1016/j.idcr.2020.e00795 [doi] LID - e00795 AB - Cytomegalovirus (CMV) esophagitis is well described in immunocompromised individuals, however, esophageal stricture due to CMV is rare. CMV disease in the setting of the immune reconstitution inflammatory syndrome (IRIS) usually takes the form of an immune-recovery uveitis or retinitis. We describe a young female patient with HIV who developed an esophageal stricture due to CMV within 6 months of starting antiretroviral therapy (ART). The patient responded well to treatment which involved 14 days of intravenous ganciclovir and esophageal dilatation. This is the first description of a patient developing gastrointestinal cytomegalovirus disease as a manifestation of IRIS. CI - (c) 2020 Published by Elsevier Ltd. FAU - Mansfield, B S AU - Mansfield BS AD - Department of Internal Medicine, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa. AD - Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. FAU - Savage-Reid, M J AU - Savage-Reid MJ AD - Division of Anatomical Pathology, National Health Laboratory Services, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa. FAU - Moyo, J AU - Moyo J AD - Department of Surgery, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa. FAU - Menezes, C N AU - Menezes CN AD - Department of Internal Medicine, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa. AD - Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. LA - eng PT - Case Reports DEP - 20200511 PL - Netherlands TA - IDCases JT - IDCases JID - 101634540 PMC - PMC7242862 OTO - NOTNLM OT - Cytomegalovirus OT - Esophageal stricture OT - Immune reconstitution inflammatory syndrome COIS- The authors declare no conflict of interest. EDAT- 2020/05/29 06:00 MHDA- 2020/05/29 06:01 PMCR- 2020/05/11 CRDT- 2020/05/29 06:00 PHST- 2020/04/25 00:00 [received] PHST- 2020/05/03 00:00 [revised] PHST- 2020/05/03 00:00 [accepted] PHST- 2020/05/29 06:00 [entrez] PHST- 2020/05/29 06:00 [pubmed] PHST- 2020/05/29 06:01 [medline] PHST- 2020/05/11 00:00 [pmc-release] AID - S2214-2509(20)30103-7 [pii] AID - e00795 [pii] AID - 10.1016/j.idcr.2020.e00795 [doi] PST - epublish SO - IDCases. 2020 May 11;21:e00795. doi: 10.1016/j.idcr.2020.e00795. eCollection 2020.