title: Fulminant cytomegalovirus myocarditis in an immunocompetent host: resolution with oral valganciclovir.
abstract: We report a case of fulminant myocarditis after a primary cytomegalovirus infection, in a previously healthy 72-year-old woman. The infection underwent clinical and immunologic resolution consequent to treatment with oral valganciclovir. In an immunocompetent host, the primary cytomegalovirus infection is usually asymptomatic or manifests itself as a heterophile-negative mononucleosis-like syndrome. Cytomegalovirus myocarditis is uncommon in immunocompetent patients. After presenting our case, we review the literature on cytomegalovirus myocarditis in immunocompetent individuals.
authors.forename: Santosh K
authors.initials: SK
authors.lastname: Padala
authors.forename: Anupam
authors.initials: A
authors.lastname: Kumar
authors.forename: Sandeep
authors.initials: S
authors.lastname: Padala
mesh_terms: D000284:Administration, Oral; D000368:Aged; D000998:Antiviral Agents / Q000627:therapeutic use*; D003586:Cytomegalovirus Infections / Q000175:diagnosis / Q000188:drug therapy*; D005260:Female; D015774:Ganciclovir / Q000031:analogs & derivatives* / Q000627:therapeutic use; D006801:Humans; D009205:Myocarditis / Q000175:diagnosis / Q000188:drug therapy* / Q000821:virology*; D000077562:Valganciclovir
chemical_list: D000998:Antiviral Agents; D000077562:Valganciclovir; D015774:Ganciclovir
keywords: Antiviral agents/therapeutic use; cytomegalovirus infections/drug therapy; immunocompetence; myocarditis/etiology; valganciclovir