Abstract &\WRPHJDORYLUXVLVDQHQWLW\ZKLFKFDXVHVVLJQL?FDQWPRUELGLW\DQGPRUWDOLW\DPRQJVROLGRUJDQWUDQVSODQWSDWLHQWV,WPD\RFFXUDVDSULPDU\LQIHFWLRQRUEHUHDFWLYDWHG,QHLWKHUFDVHFOLQLFDOPDQLIHVWDWLRQVYDU\:HDF\WRPHJDORYLUXVLQIHFWLRQ Keywords &\WRPHJDORYLUXVUHQDOWUDQVSODQWDWLRQJDVWULWLVHSLJDVWULFSDLQ Case report INTRODUCTION Cytomegalovirus (CMV) infections are important compli -cations in solid organ transplant patients, with high mor-bidity and mortality rates associated with the cytopathic effects of the virus and effects on the immune system (1).CMV infections are diagnosed when there are signs or symptoms associated with the virus with evidence of tis-sue invasion and the virus is isolated using one or another technique (2). An infection is classified as either primary or as a reactivation. Primary infections are those that occur in patients who were previously seronegative. Reactivations are those infections that develop in patients who carry the virus or had previously been treated for the infection. Clinical manifestations vary. They include fever, fatigue, loss of appetite, abdominal pain, diarrhea, vomiting and headache. Tests may show leucopenia, thrombocytope-nia, hyponatremia and evidence of visceral involvement. Physicians and care-givers must have a high index of sus-picion for this entity in the post-transplant period during which the gastrointestinal compromises occur frequently (1, 2). The British transplant society has noticed that pos-tural epigastric pain is a clinical manifestation of the disease that is useful for diagnosis of CMV infections (3). The pain is attributed to CMV induced gastritis. This article presents the case of a man who had been suffering from CMV for five months following a transplant whose principal symp-tom was postural epigastric pain.