Acute CMV hepatitis in an immunocompetent patient

被引:2
作者
Suo, Mengchen [1 ]
Ekladious, Adel [2 ]
Sahebolamri, Mehdi [3 ]
Williams-Wyss, Olivia [3 ]
机构
[1] Royal Perth Hosp, Dept Gastroenetrol & Hepatol, Perth, WA, Australia
[2] Univ Western Australia, Fac Hlth & Med Sci, Internal Med, Nedlands, WA, Australia
[3] Bunbury Hosp, Dept Gen Med, Bunbury, WA, Australia
关键词
infectious diseases; hepatitis and other GI infections; CYTOMEGALOVIRUS REACTIVATION; INFECTION;
D O I
10.1136/bcr-2020-234811
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A previously well and immunocompetent 64-year-old woman presented with fever of unknown origin and acute hepatitis. Besides headache and nausea, she had no other symptoms. Her clinical examination was unremarkable with no clear focus of infection. She was thoroughly investigated and her biochemical profile suggested a viral or autoimmune aetiology. Multiple imaging modalities gave no further insight. Her serology and subsequent nucleic acid amplification indicated reactivation of latent cytomegalovirus (CMV). Her symptoms resolved with supportive care and no anti-viral therapy was needed. This case report highlights CMV reactivation leading to acute hepatitis in a well, immunocompetent patient.
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页数:4
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