Last update:
   28-Sep-2019
 

Arch Hellen Med, 37(5), September-October 2019, 703-706

CASE REPORT

Cytomegalovirus and Helicobacter pylori coinfection in an immunocompetent adult with atrophic gastritis

I. Kalantzis,1 M. Mpompoli,2 M. Karampeli,2 A. Lioni,2 V. Samaras,3 K. Gkoumas,1 L. Lampropoulos2
1Department of Gastroenterology, "Korgialeneio-Benakeio" Hellenic Red Cross Hospital, Athens,
2Third Department of Internal Medicine and Infectious Diseases, "Korgialeneio-Benakeio" Hellenic Red Cross Hospital, Athens,
3Department of Pathology, "Korgialeneio-Benakeio" Hellenic Red Cross Hospital, Athens, Greece

Cytomegalovirus (CMV) infection of the upper digestive system is rare in immunocompetent individuals. We present the case of an immunocompetent 47-year-old male with persistent fever, weakness and hypochromic anemia. Upper gastrointestinal endoscopy revealed hypertrophic swollen folds in the fundus and mucosal nodularity of the antrum and body of the stomach. The histopathology and immunohistochemical study of biopsies revealed atrophic gastritis and co-infection by cytomegalovirus (CMV) and Helicobacter pylori (HP). Because of his young age, absence of co-morbidities, and mainly because of rapid clinical improvement on treatment, and reversal of abnormal laboratory findings, only eradication therapy for HP was administered.

Key words: Cytomegalovirus, Gastritis, Helicobacter pylori, Immunocompetence..

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