Diffuse arthralgia and myalgia as the first manifestation of benign myeloradiculopathy due to cytomegalovirus infection in an immunocompetent patient.
CMV-induced neurological manifestations are uncommon, especially in immunocompetent subjects. We report a case of CMV-induced myeloradiculopathy with a favorable outcome in an immunocompetent patient who presented with diffuse myalgia and inflammatory polyarthralgia. Presence of both peripheral and central neurological abnormalities with monocytosis and positive serological tests in the blood and cerebrospinal fluid established the diagnosis. Mixed neurological involvement is rare during CMV infection and usually occurs in association with a deficiency in immunological responses.
Etaouil
N
N
Rheumatology Department, Ibn Rochd Teaching Hospital, Casablanca, Morocco.
Benyahya
E
E
Janani
S
S
el Fatimi
A
A
Bennis
R
R
Mkinsi
O
O
D000328:Adult; D018771:Arthralgia / Q000209:etiology*; D003586:Cytomegalovirus Infections / Q000150:complications / Q000175:diagnosis* / Q000276:immunology; D004576:Electromyography; D006801:Humans; D007121:Immunocompetence; D008297:Male; D011128:Polyradiculopathy / Q000209:etiology*; D012698:Serologic Tests; D014766:Viremia / Q000150:complications / Q000175:diagnosis* / Q000276:immunology