Case 3. CMV infection of stomach (35 y-o F)
　 　 　 　 　
　 　
Intractable gastric ulcer in an SLE patient receiving corticosteroid
 　 　
　 　 　 　 　
　 　
Key words : cytomegalovirus, steroid, gastric ulcer
 　 　
　 　 　 　 　
　 　
opportunistic infection
 　 　
　 　 　
　
　 　 　
Ulcer base granulation tissue (gastric biopsy, HE) 　 CMV antigen seen in the endothelial cell in granulation tissue (gastric biopsy, immunostaining)
　 　 　
　
　 　 　

Reference case 3A
Esophageal CMV infection, leading to the diagnosis of AIDS (50 y-o M).
Biopsy from eroded esophageal mucosa, showing a few viral inclusions (HE)

 　 Reference case 3B
CMV-induced ileal ulcer post chemotherapy for malignant lymphoma (62 y-o F).
Surgical resection for ileal ulcer (HE, low power)
　 　 　
　 　
　 　 　
Reference case 3B
CMV-induced ileal ulcer post chemotherapy for malignant lymphoma (62 y-o F).
Surgical resection for ileal ulcer (HE, high power)