Lethal cytomegalovirus ischemic colitis presenting with fever of unknown origin
| Autor: | M.-C. Chou, L.-C. Wong, C.-J. Lee, S.-W. Chang, Y.-S. Tyan, J.-D. Lian, H.-R. Chang |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Internal bleeding Colon Congenital cytomegalovirus infection Disease Opportunistic Infections Fever of Unknown Origin Ischemic colitis Fatal Outcome medicine Coagulopathy Humans Fever of unknown origin Colectomy Transplantation business.industry Middle Aged medicine.disease Kidney Transplantation Surgery Infectious Diseases Cytomegalovirus Infections Female medicine.symptom business Colitis Ischemic |
| Zdroj: | Transplant Infectious Disease. 6:124-128 |
| ISSN: | 1399-3062 1398-2273 |
| DOI: | 10.1111/j.1399-3062.2004.00063.x |
| Popis: | We report a fatal case of cytomegalovirus (CMV) ischemic colitis in a renal transplant recipient. The disease was manifested with fever of unknown origin for 27 days followed by progressive right lower abdominal pain. The clinical condition deteriorated rapidly with development of disseminated intravascular coagulopathy and internal bleeding despite right hemicolectomy and antiviral therapy. The patient died 11 days after the onset of abdominal pain. We conclude that the possibility of CMV ischemic colitis should be suspected if a patient presents with fever and abdominal pain in the early months after transplantation, and that early viral detection by CMV polymerase chain reaction can be lifesaving. |
| Databáze: | OpenAIRE |
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