[Cytomegalovirus granulomatous hepatitis in an immunocompetent patient].
A case of granulomatous hepatitis induced by cytomegalovirus in a 34-year-old immunocompetent male with no other history of interest is presented. The clinical severity of the picture with progressive cholestasis, evening fever peaks and the development of echographic signs of portal hypertension led to treatment with high doses of intravenous ganciclovir. Rapid clinical improvement was observed with normalization of the analytical parameters after 15 days of treatment. The pathologic, clinical and therapeutic aspects of the liver infection by cytomegalovirus in an immunocompetent patient are discussed.
Servicio de Gastroenterología, Hospital Ramón y Cajal, Facultad de Medicina, Universidad de Alcalá de Henares, Madrid.
C
C
de la Serna-Higuera
M
M
González-García
J M
JM
Milicua
V
V
Muñoz
D000208:Acute Disease; D000328:Adult; D000998:Antiviral Agents / Q000008:administration & dosage; D003586:Cytomegalovirus Infections / Q000175:diagnosis* / Q000188:drug therapy; D018450:Disease Progression; D015774:Ganciclovir / Q000008:administration & dosage; D006099:Granuloma / Q000175:diagnosis* / Q000188:drug therapy; D006525:Hepatitis, Viral, Human / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D007121:Immunocompetence; D008297:Male; D012074:Remission Induction
D000998:Antiviral Agents; D015774:Ganciclovir
Hepatitis granulomatosa por citomegalovirus en paciente inmunocompetente.