| Autor: |
Klein Nulend R; From the Transplant Surgery Department, Westmead Hospital, Westmead, New South Wales, Australia., Singla A, De Silva R, Renthawa J, Yuen L, Laurence JM, Lee T, Pleass H |
| Jazyk: |
angličtina |
| Zdroj: |
Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation [Exp Clin Transplant] 2022 Aug; Vol. 20 (8), pp. 771-775. |
| DOI: |
10.6002/ect.2022.0190 |
| Abstrakt: |
Cytomegalovirus infection after transplant has been dramatically reduced in the modern era with improved understanding of immunosuppression and perioperative transplant care. However, cytomegalovirus syndrome with or without tissue invasive disease can still lead to significant morbidity and mortality. Several organs can be involved: most commonly, the gastrointestinal tract, liver, pancreas, lung, and the transplanted renal allograft. Postoperative cytomegalovirus colitis after renal transplant is well recognized and described, with symptoms including abdominal pain, nausea, and diarrhea. Biochemistry can demonstrate pancytopenia with a leukopenia with or without histopathology confirmation. A high index of suspicion is required for a timely diagnosis. This is the first published case report of a patient with cytomegalovirus tissue invasion presenting with a perianal fistula and abscess formation.The diagnosis and management ofthis case with a literature review is discussed. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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