Severe cytomegalovirus infections in immunocompetent patients at admission as dengue mimic: successful treatment with intravenous ganciclovir
Asian Pacific Journal of Tropical Medicine
; (12): 920-922, 2012.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-820595
Responsible library:
WPRO
ABSTRACT
Cytomegalovirus (CMV) infection is associated with adverse clinical outcomes in immunosuppressed persons. The incidence and association of CMV reactivation with adverse clinical outcomes in critically ill persons lacking evidence of immunosuppression at ICU admission has received great attention in the practice of critical care medicine. Critically ill patients in ICU who had associated risk factors such as mechanical ventilation, severe sepsis, or blood transfusion are more prone to CMV activation, which in turn led to increased mortality and morbidity in terms of increased ICU stay, longer duration of mechanical ventilation, and higher rates of nosocomial infections. However, severe CMV as initial presentation mimicking dengue infection is rare. We recently came across seven cases with positive CMV serology at ICU admission, which we discuss in the light of current literature.
Full text:
Available
Health context:
Neglected Diseases
Health problem:
Dengue
/
Neglected Diseases
Database:
WPRIM (Western Pacific)
Main subject:
Pathology
/
Serologic Tests
/
Ganciclovir
/
Treatment Outcome
/
Cytomegalovirus Infections
/
Dengue
/
Diagnosis
/
Diagnosis, Differential
/
Drug Therapy
/
Administration, Intravenous
Type of study:
Diagnostic study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Asian Pacific Journal of Tropical Medicine
Year:
2012
Document type:
Article