Fever in a Young Female Patient-A Diagnostic Dilemma
Published: January 1, 2019 | DOI: https://doi.org/10.7860/JCDR/2019/37623.12495
Uma Ravishankar, Swathy Moorthy, Suja Lakshmanan, Madhavan Krishnaswami
1. Postgraduate, Department of General Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
2. Associate Professor, Department of General Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
3. Assistant Professor, Department of General Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
4. Professor, Department of General Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
Correspondence
Dr. Uma Ravishankar,
B2, Sreshta Apartments, 473, Kilpauk Garden Road, Chennai-600010, Tamil Nadu, India.
E-mail: umaravishankar2011@gmail.com
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.
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