Late Cytomegalovirus Disease Causes Ileal Perforation after Kidney trasplantation
Journal of the Korean Society of Pediatric Nephrology
;
: 76-80, 2011.
Artículo
en Inglés
| WPRIM
| ID: wpr-195213
ABSTRACT
Cytomegalovirus (CMV) is the single most common infection following kidney transplantation and despite prophylactic strategies and the development of new antiviral agents, it still remains a cause of considerable morbidity and mortality. Current literature suggests that CMV infection may trigger rejection. We report a case of late CMV disease in a preemptive seropositive recipient who did not receive CMV prophylaxis. Diarrhea and abdominal cramping persisted after the administration of mycophenolate mofetil (MMF) six months after transplantation and resulted in ileal perforation at eight months after transplantation. The boy recovered after six weeks of treatment with ganciclovir. MMF has been mooted as a risk factor for CMV infection since its introduction, and further investigations are required to confirm its role. More attention to infectious complications is necessary and serial monitoring of viral load is recommended when MMF is administered.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Antivirales
/
Ganciclovir
/
Cólico
/
Factores de Riesgo
/
Trasplante de Riñón
/
Carga Viral
/
Trasplantes
/
Citomegalovirus
/
Diarrea
/
Riñón
Tipo de estudio:
Estudio de etiología
/
Factores de riesgo
Idioma:
Inglés
Revista:
Journal of the Korean Society of Pediatric Nephrology
Año:
2011
Tipo del documento:
Artículo
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