title: Acute human cytomegalovirus infection with bleeding in iran.
abstract: In December 2011, a 42-year-old male farmer was admitted to a hospital in Sanandaj (Western Iran) with fever and anemia in order to check whether he suffered from some infectious diseases. During the first 3 days after admission, the patient gradually developed progressive oliguria, fever, abdominal pain in the right upper quadrant, leukocytosis with toxic granulation, petechiae and ecchymosis, oral bleeding, and vomiting. The sonographic findings revealed splenomegaly and an increase in the thickness of the gall bladder wall. In order to manage the patient and taking into consideration the most probable differential diagnoses, diagnostic tests were performed on two blood samples collected from him, and real-time polymerase chain reaction for human cytomegalovirus was positive.
authors.affiliation: Department of Epidemiology, Pasteur Institute of Iran, Tehran, Iran ; Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Behzad
authors.initials: B
authors.lastname: Pourhossein
authors.affiliation: Department of Epidemiology, Pasteur Institute of Iran, Tehran, Iran ; Research Centre for Emerging and Reemerging Infectious Diseases (Akanlu), Pasteur Institute of Iran, Kabudar Ahang, Hamadan, Iran.
authors.forename: Farhad
authors.initials: F
authors.lastname: Yaghmaei
authors.affiliation: Department of Epidemiology, Pasteur Institute of Iran, Tehran, Iran ; Research Centre for Emerging and Reemerging Infectious Diseases (Akanlu), Pasteur Institute of Iran, Kabudar Ahang, Hamadan, Iran.
authors.forename: Saber
authors.initials: S
authors.lastname: Esmaeili
authors.affiliation: Department of Disease Control, Deputy of Health, Kurdistan University of Medical Sciences, Sanandaj, Iran.
authors.forename: Omid
authors.initials: O
authors.lastname: Banafshi
authors.affiliation: Infectious Disease Department, Kurdistan University of Medical Sciences, Tohid Hospital, Sanandaj, Iran.
authors.forename: Shahla
authors.initials: S
authors.lastname: Afrasiabian
authors.affiliation: Center of Communicable Diseases Control, Ministry of Health, Treatment and Medical Education, Tehran, Iran.
authors.forename: Mohammad Reza
authors.initials: MR
authors.lastname: Shirzadi
authors.affiliation: Division of Infectious Diseases, Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Schleiss
authors.affiliation: Department of Epidemiology, Pasteur Institute of Iran, Tehran, Iran ; Research Centre for Emerging and Reemerging Infectious Diseases (Akanlu), Pasteur Institute of Iran, Kabudar Ahang, Hamadan, Iran.
authors.forename: Ehsan
authors.initials: E
authors.lastname: Mostafavi
keywords: Iran; bleeding; human cytomegalovirus; real-time polymerase chain reaction