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[Ureterostomy cytomegalovirus infection presenting as stoma ulceration in a kidney allograft receptor: a case report].

作者信息

Rico J E, Cardona X, Rodelo J, Reino A, Arias L F, Arbeláez M

机构信息

Sección de Nefrología y Grupo de Trasplante Renal, Universidad de Antioquía, Hospital Universitario San Vicente de Paúl, Medillín, Colombia.

出版信息

Actas Urol Esp. 2008 Jun;32(6):649-52. doi: 10.1016/s0210-4806(08)73903-2.

Abstract

Cytomegalovirus (CMV) is the most common viral infection affecting transplant patients, but urinary tract involvement has been rare. Only a few cases of symptomatic ureteritis have been reported in renal transplant recipients. In previous reports the presentation of CMV ureteritis is obstructive nephropathy, often in the absence of systemic illness, or rarely it may also mimic allograft rejection with minimal obstructive symptoms. We describe an additional case of CMV ureteritis in a patient with cutaneous ureterostomy. The unusual clinical presentation with urinary infection symptoms and ureterostomy stoma ulceration constitute a very particular presentation. The increasing report cases with CMV ureteritis suggest an increase of this post-transplant complication.

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