Cytomegalovirus (CMV) infection is a disease caused by a type of herpes virus.
CMV mononucleosis; Cytomegalovirus; CMV; Human cytomegalovirus; HCMV
Infection with CMV is very common. The infection is spread by:
Most people come into contact with CMV in their lifetime. But usually, it's people with a weakened immune system, such as those with HIV/AIDS, who become ill from CMV infection. Some otherwise healthy people with CMV infection develop a mononucleosis-like syndrome.
CMV is a type of herpes virus. All herpes viruses remain in your body for the rest of your life after infection. If your immune system becomes weakened in the future, this virus may have the chance to reactivate, causing symptoms.
Many people are exposed to CMV early in life, but do not realize it because they have no symptoms, or they have mild symptoms that resemble the common cold. These may include:
CMV can cause infections in different parts of the body. Symptoms vary depending on the area that is affected. Examples of body areas that can be infected by CMV are:
Most people recover in 4 to 6 weeks without medicine. Rest is needed, sometimes for a month or longer to regain full activity levels. Painkillers and warm salt-water gargles can help relieve symptoms.
Antiviral medicines are usually not used in people with healthy immune function, but may be used for people with an impaired immune system.
Raymund Razonable is an Infectious Disease doctor in Rochester, Minnesota. Dr. Razonable has been practicing medicine for over 30 years and is rated as an Elite doctor by MediFind in the treatment of Cytomegalovirus Infection. He is also highly rated in 10 other conditions, according to our data. His top areas of expertise are Cytomegalovirus Infection, Cytomegalic Inclusion Disease, Sepsis, and COVID-19. He is board certified in Infectious Disease and Internal Medicine and licensed to treat patients in Minnesota and Wisconsin. Dr. Razonable is currently accepting new patients.
Didier Mandelbrot is a Nephrologist in Madison, Wisconsin. Dr. Mandelbrot has been practicing medicine for over 33 years and is rated as an Elite doctor by MediFind in the treatment of Cytomegalovirus Infection. He is also highly rated in 9 other conditions, according to our data. His top areas of expertise are Cytomegalovirus Infection, Cytomegalic Inclusion Disease, Chronic Kidney Disease, and Chronic Antibody-Mediated Rejection. He is board certified in Nephrology and licensed to treat patients in Wisconsin. Dr. Mandelbrot is currently accepting new patients.
Monika Lindemann is in Essen, Germany. Lindemann is rated as an Elite expert by MediFind in the treatment of Cytomegalovirus Infection. She is also highly rated in 5 other conditions, according to our data. Her top areas of expertise are Cytomegalovirus Infection, Kidney Transplant, Bone Marrow Transplant, and ABO Incompatibility.
Outcome is good with treatment. The symptoms may be relieved in a few weeks to months.
Throat infection is the most common complication. Rare complications include:
Call for an appointment with your provider if you have symptoms of CMV infection.
Go to the emergency room or call 911 or the local emergency number if you have sharp, severe sudden pain in your left upper abdomen. This could be a sign of a ruptured spleen, which may require emergency surgery.
CMV infection can be contagious if the infected person comes in close or intimate contact with another person. You should avoid kissing and sexual contact with an infected person.
The virus may also spread among young children in day care settings.
When planning blood transfusions or organ transplants, the CMV status of the donor can be checked to avoid passing CMV to a recipient who has not had CMV infection.
Published Date : October 25, 2020
Published By : 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, Boston, MA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Britt WJ. Cytomegalovirus.In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 137.
Centers for Disease Control and Prevention website. Cytomegalovirus (CMV) and congenital CMV infection: clinical overview. www.cdc.gov/cmv/clinical/overview.html. Updated August 18, 2020. Accessed December 1, 2020.
Drew WL, Boivin G. Cytomegalovirus. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 352.