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Case Reports
. 2006 Nov;27(11):883-5.
doi: 10.1016/j.revmed.2006.04.020. Epub 2006 Jun 2.

[Cytomegalovirus myelitis in immunocompetent adult]

[Article in French]
N Ben Abdelhafidh  1 , R Battikh, J Laabidi, F M'sadek, F Ajili, M Ben Moussa, A Amor, N Ben Abdallah, B Louzir, S Othmani
Affiliations
Case Reports

[Cytomegalovirus myelitis in immunocompetent adult]

[Article in French]
N Ben Abdelhafidh et al. Rev Med Interne. 2006 Nov.

Abstract

Introduction: Cytomegalovirus (CMV) infection occurs in 40 to 100% of general population. It is often asymptomatic in immunocompetent subject but may induce neurological syndromes such as encephalitis and myelitis.

Case record: We reported a case of a 64-years-old woman immunocompetent, with acute proximal upper and lower limb weakness, paresthesias and two episodes of urinary retention. MRI of the spine showed abnormal enhancement from cervical to lumbar spine indicative for myelitis. Diagnosis of CMV associated myelitis was confirmed by a positive CMV serology. Administration of ganciclovir was followed by a partial improvement in five months.

Discussion: Few cases of CMV acute myelitis in immunocompetent patients have been reported in the literature. The pathogenesis is not well known, however, immune-mediated central nervous system damage may be attributed to the pathogenesis of the disease. Early diagnosis and treatment improves the prognosis.

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