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In immunocompetent hosts, symptomatic cytomegalovirus (CMV) infection occurs in around 10% and has traditionally been considered to have a benign, self-limiting course. Active CMV infection in immunocompetent persons is very rare. However, manifestations of CMV infection in immunocompromised hosts have been extensively reported.
We present a case of a 58-year-old immunocompetent woman with a primary cytomegalovirus infection, which presented as a severe gastroenteritis and hepatitis.