J Korean Soc Pediatr Nephrol.  2011 Apr;15(1):76-80. 10.3339/jkspn.2011.15.1.76.

Late Cytomegalovirus Disease Causes Ileal Perforation after Kidney trasplantation

• Lee HW
• Hahn H
• Park YS

• KMID: 1442148
• DOI: http://doi.org/10.3339/jkspn.2011.15.1.76

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.

Keyword

Cytomegalovirus; Kidney transplantation; Ileal perforation

MeSH Terms

Antiviral Agents
Colic
Cytomegalovirus
Diarrhea
Ganciclovir
Kidney
Kidney Transplantation
Mycophenolic Acid
Risk Factors
Transplants
Viral Load
Antiviral Agents
Ganciclovir
Mycophenolic Acid