Spontaneous splenic rupture in primary cytomegalovirus infection.
BACKGROUND
Spontaneous splenic rupture is a rare occurrence in primary cytomegalovirus infection.


METHODS
We report two cases of spontaneous rupture of the spleen associated with primary cytomegalovirus infection in young immunocompetent adults. One patient had iron deficiency anemia, and the other a pyruvate kinase deficiency. Nonoperative management was successful in both cases.


CONCLUSIONS
Nine other cases identified by a search of the medical literature are also reviewed. These cases do not show evidence of any particular risk factor.
Maillard
Nicolas
N
Department of internal medicine, Hôpital Nord, Saint-Etienne, Cedex.
Koenig
Martial
M
Pillet
Sylvie
S
Cuilleron
Muriel
M
Cathébras
Pascal
P
D000328:Adult; D003586:Cytomegalovirus Infections / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous; D013158:Splenic Diseases / Q000821:virology*; D013163:Splenomegaly / Q000821:virology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome