title: [CMV-associated gastric ulcer in an immunocompetent male patient].
abstract: This article reports the case of a 45-year-old male immunocompetent patient who presented with acute epigastric pain and vomiting. Diagnostic tests confirmed a recent cytomegalovirus (CMV) infection as a contributory cause of a florid gastric ulcer. Primary CMV infections affecting the upper gastrointestinal tract are rare in immunocompetent adults. In this case treatment with a proton pump inhibitor and eradication of concomitant Helicobacter pylori colonization led to a full recovery. Anti-CMV treatment was not necessary.
authors.affiliation: Praxis für Allgemeinmedizin und Infektiologie, Ainmillerstr. 26, 80801, München, Deutschland. uka@infektiologie-schwabing.de.
authors.forename: U
authors.initials: U
authors.lastname: Kastenbauer
authors.affiliation: Innere Medizin und Infektiologie, gasteigpraxis, München, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Ließ
authors.affiliation: Institut für Pathologie, Klinikum Harlaching, Städtisches Klinikum München GmbH, München, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Kremer
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000276:immunology / Q000517:prevention & control; D059787:Acute Pain / Q000175:diagnosis / Q000276:immunology / Q000517:prevention & control; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000998:Antiviral Agents / Q000008:administration & dosage; D003586:Cytomegalovirus Infections / Q000175:diagnosis / Q000188:drug therapy* / Q000276:immunology*; D003937:Diagnosis, Differential; D005756:Gastritis / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology; D016481:Helicobacter Infections / Q000175:diagnosis / Q000188:drug therapy* / Q000276:immunology*; D006801:Humans; D016867:Immunocompromised Host / Q000276:immunology*; D008297:Male; D008875:Middle Aged; D054328:Proton Pump Inhibitors / Q000627:therapeutic use; D013276:Stomach Ulcer / Q000175:diagnosis / Q000276:immunology* / Q000517:prevention & control*; D014839:Vomiting / Q000175:diagnosis / Q000276:immunology / Q000517:prevention & control
chemical_list: D000900:Anti-Bacterial Agents; D000998:Antiviral Agents; D054328:Proton Pump Inhibitors
keywords: Cytomegalovirus; Helicobacter pylori; Pain, epigastric; Proton pump inhibitors; Upper gastrointestinal tract