Cytomegalic Infection in an Immunocompetent Patient: A Case With Multiple Organ Dysfunction

Joana Urbano, Sofia Moreira-Silva, Fernando Frioes, Jorge Almeida, Candida Abreu, Joana Pimenta


Cytomegalic infection of the immunocompetent adult is usually asymptomatic or expressed by a mononucleosic syndrome. We present a case of a young adult with rare and severe primary cytomegalic infection and multisystemic involvement, namely hematological, hepatic, gastrointestinal and respiratory, including pneumonia with severe pulmonary hypertension, to the best of our knowledge, not previously described. Also of note is the fact that these dysfunctions were treated successfully with ganciclovir, although a formal indication to antivirals on cytomegalic infection of the immunocompetent patients is not established yet.

J Med Cases. 2015;6(10):480-482


Immunocompetent; Adult; Cytomegalovirus; Ganciclovir

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