Two adult female cynomolgus monkeys (Macaca fascicularis) that had bee
n housed together for 4 months died within 2 weeks of each other after
brief illnesses. Monkey No. 1 presented with collapse, watery stool,
and hypothermia and died overnight. Monkey No. 2 presented with dyspne
a, nasal discharge, leukopenia, and hypoproteinemia and was euthanized
after 2 days. Both animals had peritoneal effusions, massive necrosis
of pharyngeal, esophageal, and gastric mucosa, and multifocal hepatic
and pancreatic necrosis. Monkey No. 2 also had lingual ulcers and loc
ally extensive necrosis of spleen, adrenal glands, and lymph nodes. La
rge numbers of eosinophilic intranuclear inclusion bodies were present
in epithelial and syncytial cells adjoining the necrotic foci in Monk
ey No. 2 but were absent in Monkey No. 1. Monkey No. 1 seroconverted t
o cercopithecine herpesvirus 1 (CHV-1, commonly known as herpes B) in
the month before death. CHV-1 was isolated from a sample of stomach fr
om Monkey No. 2, and electron microscopy of liver from this animal dem
onstrated herpesvirus particles within hepatocytes. Both animals were
seropositive for simian type D retrovirus, and the virus was cultured
from the liver of Monkey No. 2. A diagnosis of disseminated CHV-1 infe
ction was made, possibly occurring secondary to immunosuppression due
to infection with simian type D retrovirus. Although a high percentage
of cynomolgus monkeys are inapparently infected with CHV-1, dissemina
ted disease is rare. Because infection with CHV-1 in humans is associa
ted with a high fatality rate, familiarity with the lesions of dissemi
nated infection with this virus is important.