Abstract

DUARTE, P. J.; ECHAVARRIA, M.; PAPARATTO, A.  and  CACCHIONE, R.. Spontaneous spleen rupture associated with active cytomegalovirus infection. Medicina (B. Aires) [online]. 2003, vol.63, n.1, pp.46-48. ISSN 0025-7680.

We present a  24 year old immunocompetent male who developed a spontaneous rupture of the spleen (SRE) during an acute  cytomegalovirus (CMV) infection. The only previous clinical feature was the presence of flu-like symptoms two weeks before the SRE. The diagnosis was confirmed  by the presence of  IgM antibodies to CMV in the serum and a positive CMV-PCR in the splenic biopsy after splenectomy. The patient recovered completely after surgery. Spontaneous splenic rupture is an uncommon event associated with primary cytomegalovirus infection, and this is the first case reported in our country.

Keywords : Cytomegalovirus; Spontaneous splenic rupture; CMV-PCR.

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