A patient with fever, abdominal pain and bicytopenia: Trouble once again with these IgM antibodies!

J Clin Virol. 2016 Feb:75:60-3. doi: 10.1016/j.jcv.2015.11.025. Epub 2015 Nov 28.

Abstract

We here report the case of a 30-year old man with a history of ulcerative colitis, who presented clinical and biological features compatible with a viral hepatitis. Initial serological results revealed the presence of IgM antibodies against many viruses, and the most likely diagnosis was viral hepatitis A. However, further investigations were performed and concluded to cytomegalovirus primary infection.

Keywords: Cross-reactivity; IgM antibody; Ulcerative colitis; Viral hepatitis.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain
  • Adult
  • Antibodies, Viral / immunology
  • Colitis, Ulcerative* / blood
  • Colitis, Ulcerative* / complications
  • Colitis, Ulcerative* / immunology
  • Colitis, Ulcerative* / physiopathology
  • Cytomegalovirus Infections* / complications
  • Cytomegalovirus Infections* / diagnosis
  • Cytomegalovirus*
  • Diagnosis, Differential
  • Fever
  • Hepatitis A / complications
  • Hepatitis A / diagnosis
  • Humans
  • Immunoglobulin M / blood*
  • Immunoglobulin M / immunology
  • Male
  • Serology

Substances

  • Antibodies, Viral
  • Immunoglobulin M