Cytomegalovirus-associated acute gastric mucosal lesion in an immunocompetent host.
Involvement of the gastrointestinal tract in cytomegalovirus (CMV) infection is commonly observed in immunocompromised hosts. We encountered an immunocompetent patient with CMV associated-acute gastric mucosal lesion (AGML). The emergence of inclusion bodies characteristic of CMV infection in the specimens obtained from the patient's gastric ulcers was helpful in identifying the cause of AGML. The patient recovered without the administration of antiviral drugs. This case illustrates that CMV infection can be one of the causative agents that trigger AGML even in immunocompetent hosts, and that gastric biopsies are extremely useful for ascertaining the etiology of AGML.
Himoto
Takashi
T
Department of Integrated Medicine, Kagawa University School of Medicine, Kagawa. thimoto@med.kagawa-u.ac.jp
Goda
Fuminori
F
Okuyama
Hiroyuki
H
Kono
Takeaki
T
Yamagami
Ayumu
A
Inukai
Michio
M
Masugata
Hisashi
H
Kobayashi
Mitsuyoshi
M
Inoue
Hideyuki
H
Kinekawa
Fumihiko
F
Masaki
Tsutomu
T
Haba
Reiji
R
Ohashi
Eiji
E
Mori
Toshihiro
T
Senda
Shoichi
S
D000328:Adult; D003587:Cytomegalovirus / Q000276:immunology*; D003586:Cytomegalovirus Infections / Q000150:complications / Q000175:diagnosis* / Q000276:immunology; D005753:Gastric Mucosa / Q000276:immunology / Q000473:pathology; D006801:Humans; D007121:Immunocompetence / Q000276:immunology; D008297:Male; D013276:Stomach Ulcer / Q000150:complications / Q000175:diagnosis* / Q000276:immunology