Gastric Ulcers with Cytomegalovirus Infection in an Immunocompetent Patient
- Author:
Tae Oh KIM
1
;
Ki Nam SHIM
;
Sang Yoon KIM
;
Ji Young LIM
;
A Reum CHOE
;
Chung Hyun TAE
;
Chang Mo MOON
;
Seong Eun KIM
;
Hye Kyung JUNG
;
Sung Ae JUNG
Author Information
- Publication Type:Case Report
- Keywords: Cytomegalovirus; Immunocompetence, Stomach ulcer
- MeSH: Adult; Alanine Transaminase; Aspartate Aminotransferases; Biopsy; Cell Count; Cytomegalovirus Infections; Cytomegalovirus; Endoscopy, Digestive System; Fatigue; Humans; Immunohistochemistry; Lymphocytes; Stomach Ulcer; Ulcer
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2019;19(4):277-281
- CountryRepublic of Korea
- Language:English
- Abstract: Cases of cytomegalovirus (CMV) infection are rare, and this infection is commonly asymptomatic in immunocompetent patients. Here, we report a pathologically proven case of CMV infection in gastric ulcers in an immunocompetent patient. A 35-year-old man visited our hospital for a surveillance esophagogastroduodenoscopy. Except fatigue, he had no other symptoms. Laboratory data showed that his white cell count was 9.28×10³/µL with 60.1% lymphocytes. However, aspartate transaminase and alanine aminotransferase levels were elevated. Esophagogastroduodenoscopy revealed multiple gastric ulcers that were healing. Two endoscopic biopsies were performed to obtain specimens at the ulcer base. Histological examination and immunohistochemistry confirmed CMV infection; subsequently, we decided that the best option was observation without medication. He revisited a month later, and the ulcers had disappeared.
