[Cytomegalovirus infection accompanied with acute pancreatitis after kidney transplantation].
OBJECTIVE
To explore the prevention and management of human cytomegalovirus (HCMV) infection accompanied with acute pancreatitis after kidney transplantation.


RESULTS
A retrospective analysis of 5 patients with acute pancreatitis after kidney transplantation was conducted. The incidence of acute pancreatitis after kidney transplantation was 2.3% (5/217). All the 5 cases were complicated by active HCMV infection, 3 of which had hyperlipemia and 2 had liver dysfunction. Three cases were finally cured while the other 2 died, one of which was due to respiration failure arising from HCMV interstitial pneumonia accompanied with hemorrhagic necrotizing pancreatitis, and the other due to fulminating liver function failure because of active HCMV infection accompanied with hemorrhagic necrotizing pancreatitis.


CONCLUSIONS
Active HCMV infection is the most important factor responsible for acute pancreatitis, and early diagnosis and treatment are crucial to lower mortality rate.
Liu
Dong
D
Department of Kidney Transplantation, Second People's Hospital of Guangdong Province, Guangzhou 510317, China.
Tang
Bin
B
Wu
Jia-qing
JQ
Li
Cheng
C
Meng
Shan-dong
SD
D000328:Adult; D003586:Cytomegalovirus Infections / Q000209:etiology*; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D019283:Pancreatitis, Acute Necrotizing / Q000209:etiology* / Q000821:virology; D012189:Retrospective Studies