Are children with protein-losing enteropathy after the Fontan operation at increased risk of cytomegalovirus enteropathy? A report of two cases.

INTRODUCTION

Aetiology of protein-losing enteropathy in single-ventricle type CHD is multi-factorial.

REPORT: We describe two Fontan patients with protein-losing enteropathy who presented with cytomegalovirus-associated colitis.

DISCUSSION: Fontan patients display risk factors for cytomegalovirus-induced gastroenteropathy that may affect lymph angiogenesis, disease development, and progression.

CONCLUSION

Cytomegalovirus enteropathy may be common among Fontan patients who suffer from protein-losing enteropathy. Polymerase chain reaction is important for detection.