J Korean Surg Soc.  2006 Feb;70(2):153-157.

Cytomegalovirus Ileitis in Early Period after Kidney Transplantation

Affiliations
  • 1Department of Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea. lcjang@chungbuk.ac.kr
  • 2Department of Internal Medicine, College of Medicine, Chungbuk National University, Cheongju, Korea.
  • 3Department of Pathology, College of Medicine, Chungbuk National University, Cheongju, Korea.

Abstract

One of the most frequent viral infections after kidney transplantation (KT) is cytomegalovirus (CMV) infection. CMV infection causes disease in lung, liver, retina, brain and GI tract and reduce graft survival rate after KT. CMV disease in GI tract is most common in the colon and ileum. CMV enteritis can present with vague abdominal pain, hemorrhage and overt bowel perforation. CMV enteritis in the upper GI tract and colon can be detected early by endoscopy, but it is difficult to diagnose CMV enteritis in the small bowel. We report a rare case with CMV ileitis after KT, who gave up a transplanted kidney at post-operative 3 months in spite of the treatment of CMV infection.

Keyword

Cytomegalovirus; Kidney transplantation; Enteritis

MeSH Terms

Abdominal Pain
Brain
Colon
Cytomegalovirus*
Endoscopy
Enteritis
Gastrointestinal Tract
Graft Survival
Hemorrhage
Ileitis*
Ileum
Kidney Transplantation*
Kidney*
Liver
Lung
Retina
Upper Gastrointestinal Tract
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