{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:42:15Z","timestamp":1791826935169,"version":"4.3.4"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Cytomegalovirus (CMV) infection in immunocompetent hosts is generally asymptomatic or may present as a mononucleosic syndrome. Its association with acute cervicitis and vulvovaginitis has rarely been reported.<\/jats:p>\n               <jats:p>A 24-year-old woman presented with pelvic pain, vulvodynia, abnormal vaginal discharge, burning with urination, fatigue, fever, vomiting and diarrhoea. The vulva and cervix were red with vesicular lesions on the cervix. Genital herpes simplex infection (HSV) was suspected and valacyclovir was given orally. However, serial viral cultures performed 7\u2005weeks apart did not isolate HSV as suspected, but CMV was confirmed by immunofluorescence and early antigen research. Blood tests confirmed an acute CMV infection. Typical inclusions were found at histology. Symptoms resolved slowly with persistence of cervical lesions at 7\u2005weeks from diagnosis.<\/jats:p>\n               <jats:p>The frequency of CMV genital infection is probably underestimated. The infection is not always asymptomatic and might be confused with genital HSV infection. The clinical course is longer.<\/jats:p>","DOI":"10.1136\/bcr-2013-008884","type":"journal-article","created":{"date-parts":[[2013,4,20]],"date-time":"2013-04-20T03:37:54Z","timestamp":1366429074000},"page":"bcr2013008884","source":"Crossref","is-referenced-by-count":16,"title":["Acute cervicitis and vulvovaginitis may be associated with Cytomegalovirus"],"prefix":"10.1136","volume":"2013","author":[{"given":"Magali","family":"Abou","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics, Division of Gynecology, Geneva University Hospitals, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"D\u00e4llenbach","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Division of Gynecology, Geneva University Hospitals, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,4,20]]},"reference":[{"key":"2025082804232642000_2013.apr19_1.bcr2013008884.1","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1002\/jmv.1890430408","article-title":"Cervical cytomegalovirus infection in prostitutes and in women attending a sexually transmitted disease clinic","volume":"2013","author":"Shen","year":"1994","journal-title":"J Med Virol"},{"key":"2025082804232642000_2013.apr19_1.bcr2013008884.2","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1136\/jcp.2004.016162","article-title":"Cytomegalovirus infection of the cervix: morphological observations in five cases of a possibly under-recognised condition","volume":"2013","author":"McGalie","year":"2004","journal-title":"J Clin Pathol"},{"key":"2025082804232642000_2013.apr19_1.bcr2013008884.3","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1002\/(SICI)1097-0339(199802)18:2<110::AID-DC5>3.0.CO;2-J","article-title":"Unique cytomegalovirus intracytoplasmic inclusions in ectocervical cells on a cervical\/endocervical smear","volume":"2013","author":"Hunt","year":"1998","journal-title":"Diagn Cytopathol"},{"key":"2025082804232642000_2013.apr19_1.bcr2013008884.4","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1002\/dc.20685","article-title":"Cytomegalovirus inclusions on a cervical pap test: report of a well-known organism at an uncommon site","volume":"2013","author":"Venkataraman","year":"2007","journal-title":"Diagn Cytopathol"},{"key":"2025082804232642000_2013.apr19_1.bcr2013008884.5","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1002\/dc.20610","article-title":"\u2018Owl's Eye\u2019 cells in a cervical smear of a transplant r\u00e9cipient: don't forget to inform the referring physician","volume":"2013","author":"Oei","year":"2007","journal-title":"Diagn Cytopathol"},{"key":"2025082804232642000_2013.apr19_1.bcr2013008884.6","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1016\/0002-9378(93)90277-P","article-title":"Presence of cytomegalovirus virus inclusion bodies in a recurrent ulcerative vaginal lesion","volume":"2013","author":"Abulafia","year":"1993","journal-title":"Am J Obstet Gynecol"},{"key":"2025082804232642000_2013.apr19_1.bcr2013008884.7","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1111\/j.1365-2303.1993.tb00094.x","article-title":"Cytomegalovirus infection of the cervix detected by cytology and histology: a report of five cases","volume":"2013","author":"Huang","year":"1993","journal-title":"Cytopathology"},{"key":"2025082804232642000_2013.apr19_1.bcr2013008884.8","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1002\/dc.20048","article-title":"Identification of cytomegalovirus in a liquid-based gynecologic sample using morphology, immunohistochemistry, and DNA real-time PCR d\u00e9tection","volume":"2013","author":"Sekhon","year":"2004","journal-title":"Diagn Cytopathol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-008884","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:23:36Z","timestamp":1756380216000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-008884"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,20]]},"references-count":8,"alternative-id":["10.1136\/bcr-2013-008884"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-008884","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,4,20]]}}}