case_images: PMC5651128_01
case_images: Duodenal ulcer in the duodenal bulb as seen on EGD.
case_images: CRIPE2017-2412930.001.jpg
case_images: PMC5651128_01_CRIPE2017-2412930.001.jpg
case_images: fig1
case_images: She consequently underwent an esophagogastroduodenoscopy (EGD), which demonstrated a duodenal ulcer in the duodenal bulb (Figure 1).
case_images: Duodenum biopsy showing CMV cytopathic effect.
case_images: CRIPE2017-2412930.002.jpg
case_images: PMC5651128_01_CRIPE2017-2412930.002.jpg
case_images: fig2
case_images: Pathology from the EGD specimen biopsies later showed viral inclusion bodies consistent with CMV duodenitis (Figures 2 and 3).
case_images: CMV immunostain.
case_images: CRIPE2017-2412930.003.jpg
case_images: PMC5651128_01_CRIPE2017-2412930.003.jpg
case_images: fig3
case_images: Pathology from the EGD specimen biopsies later showed viral inclusion bodies consistent with CMV duodenitis (Figures 2 and 3).
case_images: 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.
case_images: CRIPE2017-2412930.004.jpg
case_images: PMC5651128_01_CRIPE2017-2412930.004.jpg
case_images: fig4
case_images: 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).
case_images: Patient's growth chart:length for age.
case_images: CRIPE2017-2412930.005.jpg
case_images: PMC5651128_01_CRIPE2017-2412930.005.jpg
case_images: fig5
case_images: 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).
case_images: Patient's growth chart:head circumference for age.
case_images: CRIPE2017-2412930.006.jpg
case_images: PMC5651128_01_CRIPE2017-2412930.006.jpg
case_images: fig6
case_images: 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).