title: A patient with fever, abdominal pain and bicytopenia: Trouble once again with these IgM antibodies!
abstract: We here report the case of a 30-year old man with a history of ulcerative colitis, who presented clinical and biological features compatible with a viral hepatitis. Initial serological results revealed the presence of IgM antibodies against many viruses, and the most likely diagnosis was viral hepatitis A. However, further investigations were performed and concluded to cytomegalovirus primary infection.
authors.affiliation: Université de Lille, Faculté de Médecine, CHU Lille, Laboratoire de Virologie, EA3610 Lille, France.
authors.forename: E K
authors.initials: EK
authors.lastname: Alidjinou
authors.affiliation: Université de Lille, Faculté de Médecine, CHU Lille, Laboratoire de Virologie, EA3610 Lille, France.
authors.forename: M
authors.initials: M
authors.lastname: Lazrek
authors.affiliation: Service des maladies de l'appareil digestif et de la nutrition, Pôle de Médecine et Spécialités Médicales, CHRU de Lille, France.
authors.forename: L
authors.initials: L
authors.lastname: Libier
authors.affiliation: Université de Lille, Faculté de Médecine, CHU Lille, Laboratoire de Virologie, EA3610 Lille, France.
authors.forename: L
authors.initials: L
authors.lastname: Bocket
authors.affiliation: Université de Lille, Faculté de Médecine, CHU Lille, Laboratoire de Virologie, EA3610 Lille, France.
authors.forename: A
authors.initials: A
authors.lastname: Dewilde
authors.affiliation: Université de Lille, Faculté de Médecine, CHU Lille, Laboratoire de Virologie, EA3610 Lille, France.
authors.forename: I
authors.initials: I
authors.lastname: Engelmann
authors.affiliation: Université de Lille, Faculté de Médecine, CHU Lille, Laboratoire de Virologie, EA3610 Lille, France. Electronic address: didier.hober@chru-lille.fr.
authors.forename: D
authors.initials: D
authors.lastname: Hober
mesh_terms: D015746:Abdominal Pain; D000328:Adult; D000914:Antibodies, Viral / Q000276:immunology; D003093:Colitis, Ulcerative / Q000097:blood / Q000150:complications / Q000276:immunology / Q000503:physiopathology; D003587:Cytomegalovirus; D003586:Cytomegalovirus Infections / Q000150:complications / Q000175:diagnosis; D003937:Diagnosis, Differential; D005334:Fever; D006506:Hepatitis A / Q000150:complications / Q000175:diagnosis; D006801:Humans; D007075:Immunoglobulin M / Q000097:blood* / Q000276:immunology; D008297:Male; D012699:Serology
chemical_list: D000914:Antibodies, Viral; D007075:Immunoglobulin M
keywords: Cross-reactivity; IgM antibody; Ulcerative colitis; Viral hepatitis