Journal
CUREUS JOURNAL OF MEDICAL SCIENCE
Volume 14, Issue 3, Pages -Publisher
CUREUS INC
DOI: 10.7759/cureus.23404
Keywords
cmv; ebv; splenic rupture; thrombosis; mononucleosis; splenic infarction; cytomegalovirus
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Splenic infarction associated with acute cytomegalovirus infection (CMV) is a rare but increasingly reported complication in immunocompetent patients. Although the exact mechanism of CMV as a vascular pathogen is unclear, there have been multiple reports linking this viral infection to venous thrombosis and arterial infarction.
Splenic infarction associated with acute cytomegalovirus infection (CMV) in immunocompetent patients was initially described as a very rare occurrence but has been reported in recent years with increasing frequency. Many cases undergo multiple investigations only to leave acute CMV as the likely cause. There is a risk of splenic rupture and, although this complication is rare, fatalities have occurred. Although the exact mechanism of CMV as a vascular pathogen is unclear, there are now multiple reports describing venous thrombosis and arterial infarction in the presence of this acute viral infection. Our case prompted a review of the literature, and we suggest splenic infarction should be recognised as a possible complication of acute CMV.
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