Cytomegalovirus-associated Acute Gastric Mucosal Lesion in an Immunocompetent Host

Takashi Himoto; Fuminori Goda; Hiroyuki Okuyama; Takeaki Kono; Ayumu Yamagami; Michio Inukai; Hisashi Masugata; Mitsuyoshi Kobayashi; Hideyuki Inoue; Fumihiko Kinekawa; Tsutomu Masaki; Reiji Haba; Eiji Ohashi; Toshihiro Mori; Shoichi Senda

doi:10.2169/internalmedicine.48.2308

CASE REPORTS

Cytomegalovirus-associated Acute Gastric Mucosal Lesion in an Immunocompetent Host

Takashi Himoto, Fuminori Goda, Hiroyuki Okuyama, Takeaki Kono, Ayumu Yamagami, Michio Inukai, Hisashi Masugata, Mitsuyoshi Kobayashi, Hideyuki Inoue, Fumihiko Kinekawa, Tsutomu Masaki, Reiji Haba, Eiji Ohashi, Toshihiro Mori, Shoichi Senda

Author information

Takashi Himoto
Department of Integrated Medicine, Kagawa University School of Medicine
Fuminori Goda
Department of Integrated Medicine, Kagawa University School of Medicine
Hiroyuki Okuyama
Department of Integrated Medicine, Kagawa University School of Medicine
Takeaki Kono
Department of Integrated Medicine, Kagawa University School of Medicine
Ayumu Yamagami
Department of Integrated Medicine, Kagawa University School of Medicine
Michio Inukai
Department of Integrated Medicine, Kagawa University School of Medicine
Hisashi Masugata
Department of Integrated Medicine, Kagawa University School of Medicine
Mitsuyoshi Kobayashi
Department of Gastroenterology and Neurology, Kagawa University School of Medicine
Hideyuki Inoue
Department of Gastroenterology and Neurology, Kagawa University School of Medicine
Fumihiko Kinekawa
Department of Gastroenterology and Neurology, Kagawa University School of Medicine
Tsutomu Masaki
Department of Gastroenterology and Neurology, Kagawa University School of Medicine
Reiji Haba
Department of Diagnosis Pathology, Kagawa University School of Medicine
Eiji Ohashi
Ohashi Clinic
Toshihiro Mori
Mori Clinic
Shoichi Senda
Department of Integrated Medicine, Kagawa University School of Medicine

Keywords: cytomegalovirus, acute gastric mucosal lesion, immunocompetent host

JOURNAL OPEN ACCESS

2009 Volume 48 Issue 17 Pages 1521-1524

DOI https://doi.org/10.2169/internalmedicine.48.2308

Details

Abstract

Involvement of the gastrointestinal tract in cytomegalovirus (CMV) infection is commonly observed in immunocompromised hosts. We encountered an immunocompetent patient with CMV associated-acute gastric mucosal lesion (AGML). The emergence of inclusion bodies characteristic of CMV infection in the specimens obtained from the patient's gastric ulcers was helpful in identifying the cause of AGML. The patient recovered without the administration of antiviral drugs. This case illustrates that CMV infection can be one of the causative agents that trigger AGML even in immunocompetent hosts, and that gastric biopsies are extremely useful for ascertaining the etiology of AGML.

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