Wendy J. Munckhof, MBBS; Michael J. Richards, MBBS
To the Editors: Gastric ulceration in association with cytomegalovirus (CMV) most commonly occurs in immunocompromised patients (1, 2). We report a case of CMV-associated gastric ulceration in an immunosuppressed patient in whom healing of ulceration and rapid resolution of fever and constitutional symptoms occurred twice after treatment with ganciclovir.
A 74-year-old woman presented with a 3-week history of fever, weight loss, and epigastric pain after meals. She had a history of autoimmune haemolytic anaemia (treated with azathioprine, 100 mg daily, and danazol), pernicious anaemia, renal impairment, and IgA deficiency. Gastroscopy showed shallow ulcers in the stomach, and histologic examination showed
Wendy J. Munckhof, Michael J. Richards. Cytomegalovirus-associated Gastric Ulcer. Ann Intern Med. 1992;117:877. doi: 10.7326/0003-4819-117-10-877_1
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Published: Ann Intern Med. 1992;117(10):877.
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