A First Case Report of Cytomegalovirus Infection Presenting With Perianal Fistula and Abscess Formation in a Kidney Transplant Recipient.
Exp Clin Transplant
; 20(8): 771-775, 2022 08.
Article
in En
| MEDLINE
| ID: mdl-36044362
ABSTRACT
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.
Full text:
1
Database:
MEDLINE
Main subject:
Kidney Transplantation
/
Cytomegalovirus Infections
/
Fistula
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Humans
Language:
En
Year:
2022
Type:
Article