{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T19:15:18Z","timestamp":1785611718351,"version":"3.56.0"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 69-year-old woman presented with malaise. She had had organising pneumonia with the treatment of prednisolone. A diagnosis of fulminant hepatitis was made and steroid pulse therapy was initiated. Ten days later, a colonic resection with a colostomy was performed because of the perforated diverticulitis of the sigmoid colon. She presented with epigastric pain and melena after surgery. Despite the administration of the proton pump inhibitor, an endoscopy revealed multiple deep, punched-out ulcers of the stomach. Biopsy specimen showed cytomegalovirus (CMV) infection. The melena and CMV antigenemia was improved with ganciclovir; however the patient died from worsening of hepatic failure. We emphasise that CMV-associated gastric ulcers should be considered in the differential diagnosis of gastric ulcers in patients treated with immunosuppressive drugs.<\/jats:p>","DOI":"10.1136\/bcr-2013-010501","type":"journal-article","created":{"date-parts":[[2013,8,30]],"date-time":"2013-08-30T11:14:04Z","timestamp":1377861244000},"page":"bcr2013010501","source":"Crossref","is-referenced-by-count":4,"title":["Cytomegalovirus-associated gastric ulcer: a diagnostic challenge in a patient of fulminant hepatitis with steroid pulse therapy"],"prefix":"10.1136","volume":"2013","author":[{"given":"Jiro","family":"Tamura","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shingo","family":"Arakaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Shibata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuji","family":"Maeshiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,8,30]]},"reference":[{"key":"2025042709100525000_2013.aug30_1.bcr2013010501.1","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1159\/000339714","article-title":"Gastric ulcer associated with cytomegalovirus in an immunocompetent patient: method for diagnosis","volume":"2013","author":"Ebisutani","year":"2012","journal-title":"Case Rep Gastroenterol"},{"key":"2025042709100525000_2013.aug30_1.bcr2013010501.2","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.3748\/wjg.v19.i7.1143","article-title":"Cytomegalovirus-associated gastric ulcer: a side effect of steroid injections for pyloric stenosis","volume":"2013","author":"Mori","year":"2013","journal-title":"World J Gastroenterol"},{"key":"2025042709100525000_2013.aug30_1.bcr2013010501.3","first-page":"476","article-title":"Clinical and endoscopic features for alimentary tract cytomegalovirus disease: report of 20 cases with gastrointestinal cytomegalovirus disease","volume":"2013","author":"Lin","year":"2005","journal-title":"Chang Gung Med J"},{"key":"2025042709100525000_2013.aug30_1.bcr2013010501.4","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1111\/den.12044","article-title":"Polypoid change in cytomegalovirus gastritis following treatment","volume":"2013","author":"Tsujii","year":"2013","journal-title":"Dig Endosc"},{"key":"2025042709100525000_2013.aug30_1.bcr2013010501.5","first-page":"608","article-title":"A man with AIDS and gastric ulcers","volume":"2013","author":"Philip","year":"2012","journal-title":"Clin Infect Dis"},{"key":"2025042709100525000_2013.aug30_1.bcr2013010501.6","doi-asserted-by":"crossref","first-page":"e121","DOI":"10.1086\/599116","article-title":"Diagnostic performance of the cytomegalovirus (CMV) antigenemia assay in patients with CMV gastrointestinal disease","volume":"2013","author":"Jang","year":"2009","journal-title":"Clin Infect Dis"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-010501","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T16:10:16Z","timestamp":1745770216000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-010501"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,8,30]]},"references-count":6,"alternative-id":["10.1136\/bcr-2013-010501"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-010501","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,8,30]]}}}