April 1987

Cytomegalovirus Mononucleosis-Associated Antral Gastritis Simulating Malignancy

Author Affiliations

From the Departments of Medicine (Drs Garcia and Garau), Microbiology (Dr Sierra), and Pathology (Dr Marco), Hospital Mutua de Terrassa, Barcelona, Spain.

Arch Intern Med. 1987;147(4):787-788. doi:10.1001/archinte.1987.00370040169030

• A 44-year-old man with epigastric pain, fever, and atypical lymphocytosis was found to have severe antral gastritis with radiologic and endoscopic features suggestive of malignancy. Histopathologic and serologic findings were diagnostic of cytomegalovirus gastric infection. Clinical involvement of the stomach in the course of cytomegalovirus mononucleosis is unique, and this case expands further the spectrum of clinical disease in the otherwise healthy adult.

(Arch Intern Med 1987;147:787-788)