Esophageal ulceration due to cytomegalovirus infection in a patient with acute retroviral syndrome

Opportunistic infections during primary infection with human immunodeficien cy virus type 1 have occasionally been reported in the medical literature, and those caused by cytomegalovirus have tended to be severe and prolonged. We describe a 40-year-old man who had acute retroviral syndrome complicate d by a severe cytomegalovirus-induced esophageal ulceration, which was succ essfully treated with total parenteral nutrition and ganciclovir in additio n to highly active antiretroviral therapy.