Acute cytomegalovirus proctitis and epididymitis acquired via sexual transmission in an immunocompetent patient: a case report

J Med Case Rep. 2023 Nov 10;17(1):489. doi: 10.1186/s13256-023-04216-1.

Abstract

Background: We present a case report of an immunocompetent host with presumed sexually transmitted cytomegalovirus proctitis and epididymitis, where there currently is a sparsity of published data.

Case presentation: A 21-year-old previously healthy Caucasian individual was admitted for severe rectal and testicular pain in the setting of proctitis and epididymitis. Serology and rectal pathology confirmed acute primary cytomegalovirus infection.

Conclusions: This report details his diagnostic workup and highlights cytomegalovirus as a rare cause of sexually transmitted disease among immunocompetent persons.

Keywords: Cytomegalovirus; Epididymitis; Proctitis; Sexually transmitted infections.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cytomegalovirus
  • Cytomegalovirus Infections* / complications
  • Cytomegalovirus Infections* / diagnosis
  • Cytomegalovirus Infections* / drug therapy
  • Epididymitis* / complications
  • Epididymitis* / diagnosis
  • Epididymitis* / drug therapy
  • Humans
  • Male
  • Proctitis* / diagnosis
  • Proctitis* / drug therapy
  • Proctitis* / etiology
  • Sexually Transmitted Diseases* / complications
  • Sexually Transmitted Diseases* / diagnosis
  • Sexually Transmitted Diseases* / pathology
  • Young Adult