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Microbiology · Virology: cytomegalovirus
Sample itemWhich histologic finding is characteristic of cytomegalovirus infection?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Large cells with intranuclear 'owl's-eye' inclusions
CMV-infected cells enlarge and show prominent basophilic intranuclear inclusions with a surrounding halo, giving the owl's-eye appearance. It causes serious disease in fetuses and immunocompromised patients.
Option by option
A. Negri bodies in neurons
Negri bodies are associated with rabies.
B. Cowdry type A inclusions only in cornea
Cowdry inclusions are more classically linked to herpes simplex or varicella.
C. Large cells with intranuclear 'owl's-eye' inclusions (correct)
Correct. Owl's-eye inclusions are a classic CMV clue.
D. Sulphur granules in tissue
Sulphur granules suggest Actinomyces.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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