Introduction: Cytomegalovirus generally causes self-limited, mild and asymptomatic infections in immunocompetent patients. An aggressive course in immunocompetent healthy patients is unusual.

Case Presentation: We report the case of an immunocompetent 16-year-old Egyptian boy with encephalitis, acute renal failure, and acute hepatitis triggered by viral infection with a complete recovery following antiviral treatment.

Conclusion: We believe that this case adds to the understanding of the molecular biology, clinical presentation and increasing index of suspicion of many viral infections.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803813PMC
http://dx.doi.org/10.1186/1752-1947-3-9289DOI Listing

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