Cytomegalovirus Colitis in a 10 Year-Old Girl after Kidney Transplantation

Ali-Reza Merrikhi; Seyed-Mohammad Amir-Shahkarami; Hosein Saneian

IJ Pediatrics

The Scientific Journal of Growth & Development Research Center

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Cytomegalovirus Colitis in a 10 Year-Old Girl after Kidney Transplantation

Author(s):

Ali-Reza Merrikhi¹,

Seyed-Mohammad Amir-Shahkarami^2,*,

Hosein Saneian³

IJ Pediatrics:Vol. 23, issue 2; 220-222

Published online:Dec 31, 2012

Article type:Case Report

Received:Nov 09, 2011

Accepted:May 19, 2012

How to Cite:Ali-Reza MerrikhiSeyed-Mohammad Amir-ShahkaramiHosein SaneianCytomegalovirus Colitis in a 10 Year-Old Girl after Kidney Transplantation.Iran J Pediatr.23(2):220-222.

Abstract

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.

Keywords

Cytomegalovirus

CMV

Renal transplantation

Colitis

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