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Article dans une revue

Myopericarditis complicated by pulmonary embolism in an immunocompetent patient with acute cytomegalovirus infection: a case report

Abstract :

Background

Primary acute cytomegalovirus infection in immunocompetent patients is common worldwide. Infection is most often asymptomatic or occurs sub-clinically with a self-limited mononucleosis-like syndrome. More rarely, the infection may lead to severe organ complications with pneumonia, myocarditis, pericarditis, colitis and hemolytic anemia. Recent cases of cytomegalovirus-associated thrombosis have also been reported sporadically in the medical literature.

Case presentation

We report here a case of simultaneous myopericarditis and pulmonary embolism in a 30-year-old man with no medical history. The patient was not immunocompromised. We discuss the possible role of acute cytomegalovirus infection in the induction of vascular damage and review relevant cases in the literature.

Conclusion

Thrombosis in patients with acute cytomegalovirus infection may be more frequent than is generally thought. Physicians need to be aware of the possible association between acute cytomegalovirus and thrombosis in immunocompetent patients, especially in the presence of severe systemic infection, as our case illustrates.

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Article dans une revue
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https://hal.univ-angers.fr/hal-03269618
Contributeur : Okina Université d'Angers <>
Soumis le : jeudi 24 juin 2021 - 10:57:28
Dernière modification le : vendredi 25 juin 2021 - 03:31:42

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Yves Vandamme, Alexandra Ducancelle, Loïc Bière, Nathalie Viot, Frederic Rouleau, et al.. Myopericarditis complicated by pulmonary embolism in an immunocompetent patient with acute cytomegalovirus infection: a case report. BMC Research Notes, BioMed Central, 2014, 7, pp.193. ⟨10.1186/1756-0500-7-193⟩. ⟨hal-03269618⟩

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