Korean J Gastrointest Endosc.  2008 Nov;37(5):344-348.

Spontaneous Resolving of Cytomegalovirus Associated Gastritis after Conservative Treatment in Immunocompetent Patients: A Report of Two Cases

• Lee J
• Choi SC
• Choi CS
• Kim TH

Abstract

Cytomegalovirus (CMV) disease is an important cause of morbidity and mortality in an immunocompromised host. Patients with AIDS, organ transplantion and chemotherapy for malignant disease are susceptible to CMV diseases. CMV disease rarely occurs in an immunocompetent host. The gastrointestinal tract is one of target organs for CMV infection. Immunocompetent patients with gastrointestinal CMV disease frequently recover with supportive therapy. If immunosuppressive therapy is stopped, patients infected with CMV can be spontaneously cured. However, as the prognosis of CMV infection in immunocompromised patients is usually poor, the administration of an antiviral agent is recommended for treatment. We report two cases of gastric CMV in immonocompetent patients who completely recovered with supportive treatment without antiviral therapy.

Keyword

Cytomegalovirus; Immunocompetence; Treatment

MeSH Terms

Cytomegalovirus
Gastritis
Gastrointestinal Tract
Humans
Immunocompetence
Immunocompromised Host
Prognosis
Transplants