{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:19:26Z","timestamp":1777727966079,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Cytomegalovirus (CMV) infection typically affects immunocompromised individuals. However, CMV-associated enteritis involving the entire small intestine is rare in immunocompetent patients. We report a case of a 60-year-old immunocompetent woman with a history of diabetes mellitus who presented with diarrhea for 3 weeks. Abdominal computed tomography and stool tests revealed panenteritis accompanied by protein-losing enteropathy. Enteroscopy revealed ulcerative mucosa throughout the small intestine, and subsequent biopsies confirmed CMV-associated enteritis. Initial treatment with intravenous ganciclovir was complicated by pancytopenia, leading to its discontinuation and a switch to oral valganciclovir. This adjustment led to significant clinical improvement and symptom resolution. This case highlights the importance of considering CMV-associated enteritis in immunocompetent patients presenting with unexplained gastrointestinal symptoms and demonstrates the effectiveness of oral valganciclovir following ganciclovir-induced pancytopenia.<\/jats:p>","DOI":"10.1177\/03000605241311449","type":"journal-article","created":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T08:25:57Z","timestamp":1737707157000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Cytomegalovirus-associated panenteritis in an immunocompetent 60-year-old woman treated with oral valganciclovir: a case report"],"prefix":"10.1177","volume":"53","author":[{"given":"Kye Whon","family":"Kim","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2234-8070","authenticated-orcid":false,"given":"Min Cheol","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,1,24]]},"reference":[{"key":"bibr1-03000605241311449","doi-asserted-by":"publisher","DOI":"10.1038\/s41579-021-00582-z"},{"key":"bibr2-03000605241311449","doi-asserted-by":"publisher","DOI":"10.3390\/v16030346"},{"key":"bibr3-03000605241311449","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.12006"},{"key":"bibr4-03000605241311449","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp090424"},{"key":"bibr5-03000605241311449","doi-asserted-by":"publisher","DOI":"10.7453\/gahmj.2013.008"},{"key":"bibr6-03000605241311449","first-page":"962","volume":"5","author":"Fratta Pasini AM","year":"2021","journal-title":"Catalogo dei prodotti della ricerca"},{"key":"bibr7-03000605241311449","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dks043"},{"key":"bibr8-03000605241311449","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dkl089"},{"key":"bibr9-03000605241311449","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2007.01910.x"},{"key":"bibr10-03000605241311449","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa011759"},{"key":"bibr11-03000605241311449","doi-asserted-by":"publisher","DOI":"10.1097\/00042560-200208010-00004"},{"key":"bibr12-03000605241311449","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4757-9209-6_11"},{"key":"bibr13-03000605241311449","doi-asserted-by":"publisher","DOI":"10.1016\/j.jiac.2013.12.004"},{"key":"bibr14-03000605241311449","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2015.08.040"},{"key":"bibr15-03000605241311449","doi-asserted-by":"publisher","DOI":"10.1159\/000082625"},{"key":"bibr16-03000605241311449","first-page":"120","volume":"1","author":"Iyer VHJG.","year":"2021","journal-title":"Hepatology and Practice E"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605241311449","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03000605241311449","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605241311449","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:50:56Z","timestamp":1777459856000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03000605241311449"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1177\/03000605241311449"],"URL":"https:\/\/doi.org\/10.1177\/03000605241311449","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"article-number":"03000605241311449"}}