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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 BMJ+Case+Rep
2016 ; 2016
(ä): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Perforation of the bowel due to cytomegalovirus infection in a man with AIDS:
surgery is not always necessary!
#MMPMID27440845
Yoganathan KT
; Morgan AR
; Yoganathan KG
BMJ Case Rep
2016[Jul]; 2016
(ä): ä PMID27440845
show ga
Cytomegalovirus (CMV) infection is the most common viral opportunistic infection
in immunocompromised patients and is a rare cause of bowel perforation. It
invariably requires surgical intervention and is often fatal. We report a
50-year-old Caucasian man with AIDS, presented 3?weeks after developing abdominal
pain and distension. He was treated for CMV retinitis in the past. His adherence
to antiretroviral therapy was poor. Examination revealed a recurrence of active
CMV retinitis. His abdomen was tender and distended. The plain X-ray of the
abdomen revealed a double wall sign (Rigler's sign), indicating pneumoperitoneum
due to the bowel perforation. The upper endoscopy was normal. His CD4 count was
30?cells/mm(3) He was treated with cidofovir infusion. He made a full recovery,
without requiring any form of surgery. However, he died of adult respiratory
distress syndrome 14?months later, due to iatrogenic acute pancreatitis.