“…Although CMV disease is frequently an opportunistic infection in the late course of AIDS, primary CMV disease occurring during the acute retroviral syndrome has rarely been documented. Zhao et al reported a case of CMV pneumonitis as an initial manifestation of HIV infection for the first time, and seven reports in the literature mentioned acute CMV disease in primary HIV infection [14][15][16][17][18][19][20]. Capetti et al, Smith et al, and Gupta reported cases of CMV colitis during early HIV infection, in which the patients had not received combination ART [15,16,19].…”