31-year-old woman with an enlarged tender liver

Celis, G. de; Mir, José; Casal, José; Gómez, Dolores

doi:10.1016/s0140-6736(95)91867-1

Cited by 30 publications

(16 citation statements)

References 2 publications

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“…Interestingly, we retrieved 5 other cases characterized by a partial thrombosis of either portal vein or one of its branches. [6][7][8][9][10] In agreement with our case, in 4 of such case reports, patients did not complain of abdominal pain, but presented with a mononucleosis-like syndrome with malaise, prolonged fever, and a variable elevation of aminotransferase levels. [7][8][9][10] With regard to the treat- ment and the outcome of these cases, a recanalization with low molecular weight heparin and/or vitamin K antagonists was reported in 5 cases, while a spontaneous resolution was described in one case.…”

Section: Discussionsupporting

confidence: 84%

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Asymptomatic superior mesenteric vein thrombosis as unusual complication of acute cytomegalovirus infection: a case report

et al. 2015

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We describe a 39-year-old male who presented with a fever of unknown origin, the diagnostic work-up of which disclosed an acute cytomegalovirus (CMV) infection complicated by a partial superior mesenteric vein (SMV) thrombosis. Further investigations revealed the presence of factor V Leiden mutation. Oral anticoagulant treatment with warfarin led to a complete recanalization of SMV two months after. A literature review on the association between CMV infection and portal system (PS) thrombosis in immunocompetent patients was performed. We found that, in agreement with our case, in a minority of case reports patients did not complain of abdominal pain, but presented with a mononucleosis-like syndrome with malaise and prolonged fever and displayed a variable elevation of aminotransferase levels. Interestingly, most of them exhibited a limited extension of portal thrombosis. On the whole, these data suggest that PS thrombosis during acute CMV infection may be an underestimated complication.

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Section: Discussionsupporting

confidence: 84%

“…Table 1 summarizes their main clinical features. [6][7][8][9][10] In all the above-mentioned cases portal hypertension was not detected. Therefore, it can be assumed that its absence is to be expected in patients with isolated partial PS thrombosis.…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic superior mesenteric vein thrombosis as unusual complication of acute cytomegalovirus infection: a case report

et al. 2015

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“…38 This evidence has been well validated in the individual patient clinical setting [39][40][41][42] and the relatively small-scale research setting. [43][44][45][46] However, the overall aim of this study was to test the suitability of the full WHO-recommended ultrasonography protocol in the context of large-scale schistosomiasis control programs.…”

Section: Discussionmentioning

confidence: 91%

Assessment of Ultrasound Morbidity Indicators of Schistosomiasis in the Context of Large-Scale Programs Illustrated With Experiences From Malian Children

Koukounari

Sacko²,

Kéita³

et al. 2006

The American Journal of Tropical Medicine and Hygiene

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Abstract. We assessed morbidity indicators for both Schistosoma haematobium and Schistosoma mansoni infections and evaluated the appropriateness of the World Health Organization (WHO) guidelines for ultrasound in schistosomiasis in the context of large-scale control interventions. Abdominal and urinary tract ultrasonography was performed on 2,247 and 2,822 school children, respectively, from 29 randomly selected schools in Mali before the implementation of mass anthelminthic drug administration. Using two-level logistic regression models, we examined associations of potential factors with the risk of having a positive ultrasound global score (morbidity indicative of S. haematobium infection), abnormal image pattern scores, dilatation of the portal vein, and/or enlarged liver (morbidity indicative of S. mansoni infection). The WHO protocol was found useful for detection of S. haematobium pathology but overestimated the risk of portal vein dilatation and left liver lobe enlargement associated with S. mansoni infection. We conclude that ultrasonography should be included in large-scale control interventions, where logistics allow, but cautiously.

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“…A bibliography review was then performed for all related articles. Nine cases of acute CMV infection with arterial or venous thrombosis in nonimmunocompromised adults (7 cases) or infants (2 cases) were identified [16][17][18][19][20][21][22][23][24]. They are described in table 1.…”

Section: Literature Reviewmentioning

confidence: 99%

Vascular Thrombosis and Acute Cytomegalovirus Infection in Immunocompetent Patients: Report of 2 Cases and Literature Review

Abgueguen¹,

Delbos²,

Chennebault³

et al. 2003

Clinical Infectious Diseases

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Acute cytomegalovirus (CMV) infection in immunocompetent patients is common worldwide, with seroprevalence rates of 40%-100%, depending on the country, socioeconomic conditions, and the patient's age. Infection is most often asymptomatic, but acute cytomegalovirus infection is occasionally revealed by prolonged fever, cervical lymphadenitis, and arthralgia, and it is more rarely revealed by pneumonia, myocarditis, pericarditis, colitis, and hemolytic anemia. Here, we report 2 cases of acute CMV infection in nonimmunocompromised adults that were complicated by venous thrombosis with pulmonary embolism. We also review previously reported cases of vascular thrombosis and discuss the propensity of CMV to induce vascular damage with associated thrombosis.

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31-year-old woman with an enlarged tender liver

Cited by 30 publications

References 2 publications

Asymptomatic superior mesenteric vein thrombosis as unusual complication of acute cytomegalovirus infection: a case report

Asymptomatic superior mesenteric vein thrombosis as unusual complication of acute cytomegalovirus infection: a case report

Assessment of Ultrasound Morbidity Indicators of Schistosomiasis in the Context of Large-Scale Programs Illustrated With Experiences From Malian Children

Vascular Thrombosis and Acute Cytomegalovirus Infection in Immunocompetent Patients: Report of 2 Cases and Literature Review

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