title: Acute Cytomegalovirus Hepatitis in an Immunocompetent Host as a Reason for Upper Right Abdominal Pain.
abstract: Cytomegalovirus infections are widely distributed with a seroprevalence of up to 100%. The majority of the cases take a silent course or deal with unspecific clinical symptoms. Complications in immunocompetent patients are rare but may affect the liver and lead up to an acute organ failure. In this case report, we describe a 35-year-old immunocompetent female with an acute cytomegalovirus infection presenting as acute hepatitis with ongoing upper right abdominal pain after cholecystectomy. Upper right abdominal pain is a common symptom with a wide range of differential diagnoses. If common reasons can be excluded, we want to sensitize for cytomegalovirus infection as a minor differential diagnosis even in immunocompetent patients.
authors.affiliation: Clinic of Surgery and Orthopedics, Cantonal Hospital Schaffhausen, Schaffhausen, Switzerland.
authors.forename: Kai Oliver
authors.initials: KO
authors.lastname: Jensen
authors.affiliation: Clinic of Surgery and Orthopedics, Cantonal Hospital Schaffhausen, Schaffhausen, Switzerland; Department of Visceral Surgery and Medicine, Inselspital, University of Bern, Bern, Switzerland.
authors.forename: Eliane
authors.initials: E
authors.lastname: Angst
authors.affiliation: Clinic of Surgery and Orthopedics, Cantonal Hospital Schaffhausen, Schaffhausen, Switzerland.
authors.forename: Franc Heinrich
authors.initials: FH
authors.lastname: Hetzer
authors.affiliation: Clinic of Surgery and Orthopedics, Cantonal Hospital Schaffhausen, Schaffhausen, Switzerland; Faculty of Health Sciences, Department of Medicine, University of Witten/Herdecke, Witten, Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Gingert
keywords: Cholecystolithiasis; Cytomegalovirus; Differential diagnosis; Hepatitis; Upper abdominal pain