Abstract
Cytomegalic inclusion disease (CMID) in adult is rare, but has recently been paid attention to, as an important infection in critically ill patient. This is a presentation of a case of CMID of stomach associated with Lennert's lymphoma. The patient is a 47-year-old man who was admitted because of fever. Physical examination disclosed lymphadeno-pathy and hepatomegaly. Histological picture of the biopsied lymph node revealed non-Hodgkin's lymphoma. On radiological examination of stomach ulcerative lesions were found along the greater curvature. Endoscopic picture showed eight ulcers, which were covered with white coat and whose margins were demarcated. Biopsied specimens of gastric ulcers showed no malignant changes. The ulcers were followed-up, but didn't chang in number and size in the clinical course. He died on the 107th hospital day and autopsy finding was Lennert's lymphoma. Autopsy findings showed eight ulcers (Ul-III) along the greater curvature of the stomach. Histologically, in the capillary endothelial cells, the glands and the nervous plexus at the base of the ulcers, many cytomegalic inclusion bodies wer found. It is suggested that the ulcers were caused by cytomegalovirus infection because there were no cahnge in number and size, and the rare specific morphology.
