Hemoperitoneum due to acute cytomegalovirus infection in a patient receiving peritoneal dialysis.
A 27-year-old man receiving continuous ambulatory peritoneal dialysis (CAPD) developed high-grade fever, dyspnea, and hemoperitoneum 32 months after the start of CAPD. A chest computed tomograph showed fine reticular shadows in the bilateral lower lung fields. Cytomegalovirus (CMV) antigenemia were detected, and immunoglobulin (Ig) M and IgG antibodies for CMV were also positive. The absolute counts of helper T cells (478/microL) and the ratio of helper T cells/suppressor T cells (0.25) decreased, despite no evidence of hematologic or immunologic diseases, including human immunodeficiency virus (HIV) or human T cell lymphoma virus-1 (HTLV-1) infection, or the use of immunosuppressive drugs. All symptoms, including hemoperitoneum and the ratio of helper T cells/suppressor T cells, improved gradually and spontaneously. Acute and primary cytomegalovirus (CMV) infection induced hemoperitoneum in a patient who was receiving CAPD.
Ohtani
H
H
Third Department of Internal Medicine, Akita University School of Medicine, Akita City, Japan. Ohtanihi@doc.med.akita-u.ac.jp
Imai
H
H
Komatsuda
A
A
Wakui
H
H
Miura
A B
AB
D000208:Acute Disease; D000328:Adult; D015897:Comorbidity; D003586:Cytomegalovirus Infections / Q000150:complications* / Q000453:epidemiology / Q000276:immunology; D006465:Hemoperitoneum / Q000209:etiology*; D006801:Humans; D007111:Immunity, Cellular / Q000276:immunology; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000628:therapy*; D008297:Male; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects