title: [Fever, headache and weakness. Primary cytomegalovirus infection].
abstract: We report on an acute primary infection with cytomegalo virus in a 26 year old immunocompetent and hitherto healthy man. The course of the disease was characterized by prolonged febrile state, headaches, myalgias and markedly reduced general condition. Indicators leading to diagnosis were in view of otherwise unremarkable clinical findings, reactive lymphocytosis, mild splenomegaly as well as elevated transaminases interpreted as concomitant hepatitis. The evolution was benign under symptomatic treatment. The patient recovered rapidly and completely. The clinical picture of primary CMV infection in nonimmunosuppressed adults is discussed.
authors.affiliation: Departement für Innere Medizin, Medizinische Poliklinik, Universitätsspital Zürich.
authors.forename: P
authors.initials: P
authors.lastname: Osterwalder
authors.forename: J
authors.initials: J
authors.lastname: Koch
mesh_terms: D000328:Adult; D003586:Cytomegalovirus Infections / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005221:Fatigue / Q000209:etiology*; D005335:Fever of Unknown Origin / Q000209:etiology*; D006261:Headache / Q000209:etiology*; D006801:Humans; D008297:Male
vernacular_title: Fieber, Kopfschmerzen und Adynamie. Zytomegalievirus-Primärinfektion.