Cytomegalovirus hepatitis and myopericarditis

Department of Digestive disease, Hospital Donostia, Paseo Beguiristain S/N, 20014 San Sebastián (Gipúzcoa), Spain.
World Journal of Gastroenterology (Impact Factor: 2.37). 02/2007; 13(4):647-8.
Source: PubMed


Cytomegalovirus (CMV) infection in inmunocompetent hosts generally is asymptomatic or may present as a mononucleosis syndrome but rarely can lead to severe organ complications. We report a case of simultaneous hepatic and pericardic CMV infection in a 36-year old immunocompetent man. He was admitted to coronary unit with fever, chest pain radiated to shoulders, changes on electrocardiogram with diffuse ST elevation and modest laboratory elevations in the MB fraction of creatine kinase (CK-MB) of 33.77 microg/L (0.1-6.73), serum cardiac troponin T of 0.904 ng/mL (0-0.4), creatine kinase of 454 U/L (20-195) and myoglobin of 480.4 microg/L (28-72). Routine laboratory test detected an elevation of aminotransferase level: alanine aminotransferase 1445 U/L, aspartate aminotransferase 601 U/L. We ruled out other causes of hepatitis with normal results except IgM CMV. The patient was diagnosed with myopericarditis and hepatitis caused by cytomegalovirus and started symptomatic treatment with salicylic acid. In few days the laboratory findings became normal and the patient was discharged.

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    • "CMV has a wide tissue tropism and is able to infect multiple organs including the heart. However, clinically significant cardiac disease is rarely reported overall, although we note an increase of such case-reports in the literature in recent years [19-23] and think that the association may be under-diagnosed currently. "
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