Fever in a Young Female Patient-A Diagnostic Dilemma

Abstract

A young female patient on chronic steroid therapy developed Cytomegalovirus gastritis with suspected dissemination. With no other identifiable cause of immune suppression, diagnosis of this unlikely infection under this circumstance proved a challenge. Her non-compliance to treatment further complicated matters. This case highlights the importance of having a high degree of suspicion in diagnosing an unlikely infection in an unforeseen circumstance. It also brings to the limelight the need for clear guidelines on initiating antiviral therapy in non-transplant patients.

Keywords

• cns viral infection
• cytomegalovirus
• immunocompromised
• non-transplant