PMC5651128_01
Duodenal ulcer in the duodenal bulb as seen on EGD.
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She consequently underwent an esophagogastroduodenoscopy (EGD), which demonstrated a duodenal ulcer in the duodenal bulb (Figure 1).
Duodenum biopsy showing CMV cytopathic effect.
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Pathology from the EGD specimen biopsies later showed viral inclusion bodies consistent with CMV duodenitis (Figures 2 and 3).
CMV immunostain.
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Pathology from the EGD specimen biopsies later showed viral inclusion bodies consistent with CMV duodenitis (Figures 2 and 3).
Patient's growth chart:weight for age. Arrows from left to right. (1) Initiation of nasogastric tube feeds. (2) Initiation of antiviral therapy. (3) Gastrostomy tube placement.
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However, with nasogastric feeds, the patient demonstrated appropriate weight gain, and pediatric surgery proceeded with gastrostomy tube (g-tube) placement (Figures 4, 5, and 6).
Patient's growth chart:length for age.
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However, with nasogastric feeds, the patient demonstrated appropriate weight gain, and pediatric surgery proceeded with gastrostomy tube (g-tube) placement (Figures 4, 5, and 6).
Patient's growth chart:head circumference for age.
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However, with nasogastric feeds, the patient demonstrated appropriate weight gain, and pediatric surgery proceeded with gastrostomy tube (g-tube) placement (Figures 4, 5, and 6).