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

CMV Retintis

  • Peripheral retinitis can be asymptomatic or present with the following symptoms:
    • Floaters
    • Scotomata
    • Peripheral visual field defects
  • Central retinal lesions or lesions impinging on the macula or optic nerve are result in decreased visual acuity and central field defects.

CMV Colitis

  • Colitis presents with the following symptoms:
  • Weight loss
  • Anorexia
  • Abdominal pain
  • Diarrhea
  • Fever
  • Malaise
  • Patients with perforation of the bowel present with acute abdominal pain.

CMV Esophagitis

Patients with cytomegalovirus esophagitis present with symptoms of:

  • Odynophagia
  • Nausea
  • Mid-epigastric or retrosternal discomfort
  • Fever

CMV Encephalitis

  • Patients with cytomegalovirus encephalitis presents with:
  • Fever
  • Lethargy
  • Confusion

CMV Ventriculoencephalitis

  • Patients with cytomegalovirus ventricluloencephalitis present:
  • Aacute onset of symptoms with focal neurological deficits
  • Cranial nerve palsies
  • Nystagmus
  • Rapid progression to death

CMV Polyradiculomyelopathy

Patients with cytomegalovirus polyradiculomyelopathy present with features similar to Guillian Barre Syndrome and have symptoms such as:

  • Bladder incontinence
  • Paraplegia with gradual worsening of symptoms over weeks

References