| Cytomegalovirus Infectious Mononucleosis in a Patient with a Gastric
Ulcer |
| Se Yoon Park, M.D., Eun Jung Lee, M.D., Tae Hee Lee, M.D., So My Koo, M.D., Jin Nyoung Kim, M.D.,
Min Huok Jeon, M.D., Eun Ju Choo, M.D. and Tae Hyong Kim, M.D. |
| Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea |
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| Abstract |
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Cytomegalovirus (CMV) is a prevalent pathogen, with 98∼100% of Korean adults
showing prior exposure by serology. A primary infection, such as CMV infectious
mononucleosis, is very rare. CMV infectious mononucleosis often presents an
initial diagnostic problem. Patients are often hospitalized with a wide variety of
clinical diagnoses including fever of unknown origin without pharyngitis and
lymphadenopathy. CMV gastrointestinal infections are rare in previously immunocompetent
individuals. The most common sites involved are the colon and rectum,
although lesions of the stomach have also been described. It is unusual to see CMV
infectious mononucleosis and CMV gastrointestinal infection in the same patient.
Our patient received symptomatic treatment and fully recovered. We present a case
of CMV infectious mononucleosis with gastric ulcers in a previously healthy adult. |
| Key Words:
Cytomegalovirus, Gastric ulcers, Immunocompetent |
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