CMV - immunocompromised host

Table of Contents

Definition

Cytomegalovirus (CMV) is a member of a group of herpes-type viruses that can cause disease in different parts of the body in people. This article discusses CMV in people with weakened immune systems.


Alternative Names

Cytomegalovirus - immunocompromised host


Causes, incidence, and risk factors

Most humans are exposed to CMV in their lifetime, but typically only individuals with weakened immune systems become ill from CMV infection. Usually, CMV produces no symptoms. However, serious CMV infections can occur in people with weakened immune systems due to AIDS, organ transplants, bone marrow transplant, chemotherapy, or medicines that suppress the immune system.

A CMV infection may affect different parts of the body. Infections include:

  • CMV esophagitis (infection of the esophagus)
  • CMV gastroenteritis (infection of the stomach or intestines)
  • CMV retinitis (infection of the eye)
  • CMV pneumonia (infection of the lung)
  • Mononucleosis-like illness

Once a person becomes infected, the virus remains alive, but usually dormant, within that person's body for life. Rarely does it cause recurrent disease, unless the person's immune system is suppressed due to medication or disease. Therefore, for most people, CMV infection is not a serious problem.

Primary CMV infection in pregnant women can cause harm to the developing fetus. See: Congenital cytomegalovirus



Review Date: 12/01/2009
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)