Good's syndrome combined with CMV gastroenteritis: A case report and literature review

Key Clinical Message Good's syndrome (GS) presents with thymoma, hypogammaglobulinemia, and recurrent infection. The manifestations of patients diagnosed with GS and Cytomegalovirus (CMV) gastroenteritis are rare and non‐specific. Early diagnosis and treatment can improve the prognosis of the rare disease. Good's syndrome (GS), a rare acquired immunodeficiency condition, is characterized by thymoma, hypogammaglobulinemia, and low peripheral B‐lymphocyte count. GS tends to occur in individuals aged 40–60 years, resulting in increased risk of recurrent infections with various conditional pathogenic bacteria, viruses, and fungi. Cytomegalovirus (CMV) can cause pneumonia, retinitis, encephalitis, and enteritis in GS patient, but CMV infection in the alimentary tract is usually underestimated, delayed diagnosed and misdiagnosed. In this study, we reported a female patient with GS and chronic diarrhea due to CMV infection and reviewed the literature to conclude the characteristics of this rare condition to improve the clinical diagnosis and prognosis of CMV gastroenteritis in patients with GS. The figure illustrates the endoscopic characteristics of the patient, with key manifestations including a mucous protrusive lesion near the pylorus, congested and scattered mucosal patches of sigmoid colon, and scattered rectal mucosa with hyperemia and erosion.