Andrew J. Peranteau, Author at Gastroenterology Advisor

Andrew J. Peranteau

All articles by Andrew J. Peranteau

Cytomegalovirus infection

Are You Confident of the Diagnosis? Symptomatic infection with human cytomegalovirus (CMV) may occur in the newborn or in immunocompromised individuals, including those infected with HIV/AIDS, hematopoietic stem cell transplant (HSCT) recipients, and organ transplant recipients. Symptoms of infection with CMV in such populations are extremely variable. Immunocompetent individuals rarely exhibit any symptoms of disease…

Varicella (chickenpox, postvaricella encephalitis, varicella hemorrhagic pneumonitis, postvaricella myelitis, varicella with other specified complications, varicella with unspecified complication, varicella without mention of complication)

Are You Confident of the Diagnosis? What you should be alert for in the history Varicella usually begins as a prodrome of mild fever, malaise and myalgia. Other prodromal symptoms may include pharyngitis, irritability and anorexia. This tends to be more pronounced in adolescents and adults than in children who may have no prodrome. The…

Herpes Zoster (shingles, zoster, zona)

Are You Confident of the Diagnosis? What you should be alert for in the history A history of prodrome with acute stinging, itching, burning, paresthesias, and hyperesthesia in a single dermatome is characteristic of herpes zoster. Patients may also complain of constitutional symptoms (headache, malaise, fever). Typically, pain begins and a unilateral rash of erythematous…

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