本文报告3例巨细胞病毒引致的肉芽肿性肝炎,指出巨细胞病毒可以作为成人肉芽肿性肝炎的一种病因。3例均为女性,年龄分别为55、60和30岁。都有较长时间的发热、出汗、不适、软弱、疲乏和肌肉疼痛;畏光和皮疹各2例;1例有恶心、呕吐、头痛、淋巴结肿大、胸锁乳突肌压痛以及肝脾肿大(肝肋缘下10cm)。3例均有轻度贫血和淋巴细胞显著增加(淋巴细胞计数最高值分别为74%、59%和63%)。非典型淋巴细胞最高值分别为20%、4%和21%。单核细胞最高值分别为13%、16%和13%。肝功能试验均显示肝脏损害,1例尚有黄疸,乳酸脱氢酶最高值分别为535、362和727u。谷草转氨酶的最高值分别 This article reports 3 cases of cytomegalovirus-induced granulomatous hepatitis, indicating that cytomegalovirus can be used as a cause of adult granulomatous hepatitis. All 3 women were female and were 55, 60 and 30 years old respectively. 1 patient had nausea, vomiting, headache, swollen lymph nodes, tenderness of sternocleidomastoid muscle and liver and spleen Enlargement (liver ribs 10cm). Three patients had mild anemia and lymphocytes increased significantly (the highest lymphocyte counts were 74%, 59% and 63%, respectively). The highest values ​​of atypical lymphocytes were 20%, 4% and 21%, respectively. The highest monocytes were 13%, 16% and 13%, respectively. Liver function tests showed liver damage, one case still jaundice, lactate dehydrogenase maximum values ​​were 535,362 and 727u. Aspartate aminotransferase highest value respectively