title: Cytomegalovirus hepatitis and myopericarditis.
abstract: Cytomegalovirus (CMV) infection in inmunocompetent hosts generally is asymptomatic or may present as a mononucleosis syndrome but rarely can lead to severe organ complications. We report a case of simultaneous hepatic and pericardic CMV infection in a 36-year old immunocompetent man. He was admitted to coronary unit with fever, chest pain radiated to shoulders, changes on electrocardiogram with diffuse ST elevation and modest laboratory elevations in the MB fraction of creatine kinase (CK-MB) of 33.77 microg/L (0.1-6.73), serum cardiac troponin T of 0.904 ng/mL (0-0.4), creatine kinase of 454 U/L (20-195) and myoglobin of 480.4 microg/L (28-72). Routine laboratory test detected an elevation of aminotransferase level: alanine aminotransferase 1445 U/L, aspartate aminotransferase 601 U/L. We ruled out other causes of hepatitis with normal results except IgM CMV. The patient was diagnosed with myopericarditis and hepatitis caused by cytomegalovirus and started symptomatic treatment with salicylic acid. In few days the laboratory findings became normal and the patient was discharged.
authors.affiliation: Department of Digestive disease, Hospital Donostia, Paseo Beguiristain S/N, 20014 San Sebastián (Gipúzcoa), Spain. leirezubi@yahoo.es
authors.forename: Leire
authors.initials: L
authors.lastname: Zubiaurre
authors.forename: Eva
authors.initials: E
authors.lastname: Zapata
authors.forename: Luis
authors.initials: L
authors.lastname: Bujanda
authors.forename: María
authors.initials: M
authors.lastname: Castillo
authors.forename: Igor
authors.initials: I
authors.lastname: Oyarzabal
authors.forename: Maria A
authors.initials: MA
authors.lastname: Gutiérrez-Stampa
authors.forename: Angel
authors.initials: A
authors.lastname: Cosme
mesh_terms: D000328:Adult; D003586:Cytomegalovirus Infections / Q000150:complications*; D006525:Hepatitis, Viral, Human / Q000209:etiology*; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000209:etiology*; D010493:Pericarditis / Q000209:etiology*