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)