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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Yoganathan, Katie Tharshana Morgan, Andrew Roger Yoganathan, Kathir G. |
| Description | Author Affiliation: Yoganathan KT ( University College London Institute of Neurology, London, UK.); Morgan AR ( Department of Surgery, Abertawe Bro Morgannwg University Health Board, Singleton Hospital, Swansea, UK.); Yoganathan KG ( Department of GUM/HIV, Abertawe Bro Morgannwg University Health Board, Singleton Hospital, Swansea, UK.) |
| Abstract | Cytomegalovirus (CMV) infection is the most common viral opportunistic infection in immunocompromised patients and is a rare cause of bowel perforation. It invariably requires surgical intervention and is often fatal. We report a 50-year-old Caucasian man with AIDS, presented 3â weeks after developing abdominal pain and distension. He was treated for CMV retinitis in the past. His adherence to antiretroviral therapy was poor. Examination revealed a recurrence of active CMV retinitis. His abdomen was tender and distended. The plain X-ray of the abdomen revealed a double wall sign (Rigler's sign), indicating pneumoperitoneum due to the bowel perforation. The upper endoscopy was normal. His CD4 count was 30â cells/mm(3) He was treated with cidofovir infusion. He made a full recovery, without requiring any form of surgery. However, he died of adult respiratory distress syndrome 14â months later, due to iatrogenic acute pancreatitis. |
| Journal | BMJ Case Reports |
| Volume Number | 2016 |
| e-ISSN | 1757790X |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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