Murat ÖZKALE, Oğuz CANAN, Suna ASİLSOY, Nebil BAL, Aytül NOYAN

Herediter Sferositozlu Bir Olguda Sitomegalovirus Kolitine Bağlı İntraktable Diyare

Sitomegalovirüs (CMV) infeksiyonu tüm dünyada sıkça görülen bir viral infeksiyon olup, gelişmekte olan ülkelerde infeksiyonu geçirme oranı %90'lara çıkmaktadır. İmmünkompetan kişilerde primer CMV infeksiyonu %10 semptomatik olup, nadiren organ spesifik komplikasyonlara neden olur. Biz herditer sferositozlu ve spontan dalak rüptürü olan immünkompetan kritik sepsisli ve kansız ishali olan hastada CMV tedavisine yanıt veren CMV kolitli hastayı bildirdik.

Intractable Diarrhea from Cytomegalovirus Colitis in a Case with Hereditary Spherocytosis

Cytomegalovirus (CMV) infection is a common viral infection worldwide, with a frequency as high as 90% in developing countries. Only 10% of primary CMV infection is symptomatic in immunocompetent patients, and it rarely causes specific complications. We report CMV colitis in an immunocompetent adolescent with hereditary spherocytosis and spontaneous rupture of the spleen, who was critically ill with septicaemia and significant non-bloody diarrhoea that responded to specific CMV treatment.

Keywords:

CMV, colitis, hereditary spherocytosis, immunocompetent,

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