CYTOMEGALOVIRUS GASTRITIS IN A NORMAL HOST

Abstract

We reported a case of viral gastritis due to cytomegalovirus (CMV). A 52-year-old woman developed a recurrent fever with general malaise. Gastrofiberscopy showed multiple short linear or criss-cross erosions measuring 2 to 3 millimeters in diameter on her gastric mucosa. Pathological study of gastric biopsy proved intranuclear inclusion bodies of Cowdry A type in the.mucosal epithelia and positive specific fluorescence of anti-CMV monoclonal antibody in the nuclei corresponding to the inclusions. She was diagnosed as having CMV gastritis by these findings with an increase in CMV IgM antibody titer. She recovered in about 20 days without antivirus therapy. It is very rare that a nonimmunocompromised host suffers from a cytomegalovirus infection.