Acute cytomegalovirus hepatitis in an elderly patient: A case report

• DOI: 10.33448/rsd-v14i3.48423
• Publication Date: 2025-03-18T17:34:06Z
• Authors: Maria Eduarda Nin...; Tiago Porfírio Te...; Maria Eduarda Bar...; Ana Júlia Maluf C...; Silvia Maria Perr...; Rodrigo Juliano M...; Ana Flávia Carrij...
• Keywords: Cytomegalovirus; Acute hepatitis; Hepatitis C

Introduction: Cytomegalovirus (CMV), also known as human herpesvirus type 5, is transmitted through body fluids and can infect a large number of cells in the individual, enabling systemic transmission within host. This virus generally causes asymptomatic infections immunocompetent individuals or mononucleosis-like syndrome, but it rarely cause infections, such hepatic manifestation. Objective: article aims to report case hepatitis associated with cytomegalovirus, reinforcing importance this agent differential diagnosis acute hepatitis. Methodology: elaborate review patient's medical records, well literature on subject, indicating epidemiology, pathogenesis, clinical manifestations, treatment. Related case: A 60-year-old female patient required care at na an emergency room complaints malaise, asthenia fever. Antibiotic therapy was prescribed, without remission symptoms. Blood count showed low hematocrit levels red blood Rouleaux. Patient hypertension, dyslipidemia, ex-smoker immunocompetent. The hospitalization due anemia, hepatomegaly positive IgM IgG serology for CMV, addition upper abdominal ultrasound showing increased parenchyma. After 10 days hospitalization, there were no relevant complications, confirmed cytomegalovirus after viral load (quantitative CMV PCR 9,770 IU/mL). Conclusion: We highlight manifestation infection presenting elderly individuals, demonstrating analyzing encouraging exploration knowledge about disease.