Khattab Mahmoud Aboelneen, Eslam Mohammed, Abd-Elfattah Mohammed Emad
Department of Internal Medicine, Minia medical school, Minia University, Minia, Egypt.
J Med Case Rep. 2009 Nov 21;3:9289. doi: 10.1186/1752-1947-3-9289.
Cytomegalovirus generally causes self-limited, mild and asymptomatic infections in immunocompetent patients. An aggressive course in immunocompetent healthy patients is unusual.
We report the case of an immunocompetent 16-year-old Egyptian boy with encephalitis, acute renal failure, and acute hepatitis triggered by viral infection with a complete recovery following antiviral treatment.
We believe that this case adds to the understanding of the molecular biology, clinical presentation and increasing index of suspicion of many viral infections.
巨细胞病毒通常在免疫功能正常的患者中引起自限性、轻度且无症状的感染。免疫功能正常的健康患者出现侵袭性病程并不常见。
我们报告了一例16岁免疫功能正常的埃及男孩的病例,该男孩因病毒感染引发脑炎、急性肾衰竭和急性肝炎,经抗病毒治疗后完全康复。
我们认为该病例有助于加深对许多病毒感染的分子生物学、临床表现及怀疑指数增加的理解。