Cytomegalovirus esophagitis in nonimmunocompromised patient--presenting as an acute necrotic (black) esophagitis.

Sir, A 54 year old, alcoholic male presented to our hospital with was detected not earlier than the late second trimester, and till then fetal growth corresponded to age. Antibody titre in both instances was 1/64 significant, though not usually associated with intrauterine death. In our case, external anomalies were described, suggesting the possibility of a non immune cause contributing to severity. While the fourth pregnancy had a better outcome, the role of timely diagnosis and intervention here must be emphasized.