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Cytomegalovirus ischemic colitis and transverse myelitis in a renal transplant recipient
Joint Authors
Gorsane, Iman
Alawi, Sabra
Litaif, Ahmad
Haydar, Rim
Hawwalah, Fawzi
Almi, Mezri
Skhiri, Habib
Frih, Amir
Bin Diya, Nasir
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 24, Issue 2 (30 Apr. 2013), pp.309-314, 6 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2013-04-30
Country of Publication
Saudi Arabia
No. of Pages
6
Main Subjects
Topics
- Case studies
- Kidneys
- Spinal cord
- Diseases
- Organ transplantation
- Inflammation
- Complications(Medicine)
- Cytomegalovirus
- Ischemic colitis
Abstract EN
We report a rare case of cytomegalovirus (CMV)-associated ischemic colitis and transverse myelitis (TM) occurring precociously after renal transplantation.
A 57-year-old male was transplanted with a cadaveric kidney on 5 June 2009.
The patient was CMV seropositive and the donor was seronegative.
Transplantation was followed shortly by TM, which resulted in paraplegia.
The results of magnetic resonance imaging of the spinal cord showed abnormalities.
Twenty days after transplantation, he developed abdominal pain with malena and was diagnosed as having CMV-associated ischemic colitis confirmed by colonoscopy and biopsy.
Serological data and identification of the viral genome by polymerase chain reaction were confirmatory for CMV.
Treatment consisted of intravenous ganciclovir, followed by polyvalent immunoglobulin.
The outcome was favorable.
Symptomatic CMV infection is relatively common among the renal transplant population.
Early colonoscopy is beneficial for making a quick diagnosis and therefore helps to institute a prompt management of CMV colitis.
Myelitis is less common in transplant recipients and diagnosis, therefore, was more difficult.
American Psychological Association (APA)
Gorsane, Iman& Alawi, Sabra& Litaif, Ahmad& Haydar, Rim& Hawwalah, Fawzi& Frih, Amir…[et al.]. 2013. Cytomegalovirus ischemic colitis and transverse myelitis in a renal transplant recipient. Saudi Journal of Kidney Diseases and Transplantation،Vol. 24, no. 2, pp.309-314.
https://search.emarefa.net/detail/BIM-329004
Modern Language Association (MLA)
Frih, Amir…[et al.]. Cytomegalovirus ischemic colitis and transverse myelitis in a renal transplant recipient. Saudi Journal of Kidney Diseases and Transplantation Vol. 24, no. 2 (2013), pp.309-314.
https://search.emarefa.net/detail/BIM-329004
American Medical Association (AMA)
Gorsane, Iman& Alawi, Sabra& Litaif, Ahmad& Haydar, Rim& Hawwalah, Fawzi& Frih, Amir…[et al.]. Cytomegalovirus ischemic colitis and transverse myelitis in a renal transplant recipient. Saudi Journal of Kidney Diseases and Transplantation. 2013. Vol. 24, no. 2, pp.309-314.
https://search.emarefa.net/detail/BIM-329004
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 313-314
Record ID
BIM-329004