Cytomegalovirus infection history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]

Overview

History and Symptoms

  • Peripheral retinitis can be asymptomatic or present with floaters, scotomata, or peripheral visual field defects whereas central retinal lesions or lesions impinging on the macula or optic nerve are result in decreased visual acuity and central field defects.
  • Colitis presents with weight loss, anorexia, abdominal pain, debilitating diarrhea, fever and malaise. Patients with perforation of the bowel present with acute abdominal pain.
  • Patients with cytomegalovirus esophagitis present with symptoms of odynophagia, nausea, mid-epigastric or retrosternal discomfort and fever.
  • Patients with cytomegalovirus encephalitis presents with fever, lethargy and confusion.
  • Patients with cytomegalovirus ventricluloencephalitis present an acute onset of symptoms with focal neurological deficits, cranial nerve palsies, nystagmus and rapid progression to death.