Korean J Med.  2004 Mar;66(3):326-330.

Cytomegalovirus-associated gastritis in immunocompetent adult

Affiliations
  • 1Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 2Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

Cytomegalovirus (CMV) infections are usually reported in immunocompromised patients. However, it occurs rarely in immunocompetent individuals. A case of CMV associated with stomach ulcers and mucosal nodules is reported in a immunocompetent host. A previously healthy 27-year-old man visited our hospital with a thirty-day history of epigastric pain and a nine-day history of vomiting. The demonstration of intranuclear inclusion bodies in a few gastric glandular epithelial cells contributed to the diagnosis of CMV gastritis. Treatment with a proton pump inhibitor and ganciclovir was successful to mitigate the epigastric pain and vomiting.

Keyword

Cytomegalovirus; Stomach ulcer; Immunocompetent

MeSH Terms

Adult*
Cytomegalovirus
Diagnosis
Epithelial Cells
Ganciclovir
Gastritis*
Humans
Immunocompromised Host
Intranuclear Inclusion Bodies
Proton Pumps
Stomach Ulcer
Vomiting
Ganciclovir
Proton Pumps
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