Cytomegalovirus colitis in a 10 year-old girl after kidney transplantation.
2013
Background: Cytomegalovirus is an important infection in kidney
Transplantation. Isolation of the CMV virus or detection of its
proteins or nucleic acid in any body fluid or tissue specimen is
defined as "CMV infection". Case Presentation: A 10-year-old girl was
admitted frequently for vomiting and colicky watery diarrhea starting
one month after renal transplantation from a non-relative living donor.
Cr, BUN, serum electrolytes and also liver function tests were normal.
Anti CMV IgM titer was negative before and after transplantation. On
colonoscopy large aphthous like lesions were detected in the colon. CMV
PCR of the lesion was strongly positive (>2000 copies/ml). The
patient received Ganciclovir. Conclusion: Usually CMV infected patients
present with renal dysfunction after renal transplantation but other
organ involvements must not be ignored. We report a patient presenting
only with intestinal signs and symptoms of CMV infection.
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