title: [Primary infection with cytomegalovirus: An infectious cause of splenic infarction].
abstract: BACKGROUND
  Cytomegalovirus-associated thrombosis has been extensively reported in the medical literature, mainly in immune-compromised patients. However, the association with splenic infarcts has rarely been reported.
  
  
  METHODS
  We report a 32-year-old Caucasian and immunocompetent woman who presented with a splenic infarction during a primary infection with CMV. The differential diagnostic ruled out embolic, hematologic, gastrointestinal and coagulation disorders. The outcome was favorable with symptomatic treatment.
  
  
  CONCLUSIONS
  A primary infection with CMV must be added to the diagnostic work-up in the presence of a febrile splenic infarction, especially when it is associated with a biological mononucleosis reaction.
authors.affiliation: Service de médecine interne, centre hospitalier Sud-Essonne, site Dourdan, 2, rue du Potelet, 91410 Dourdan, France. Electronic address: hkassem@ch-sudessonne.fr.
authors.forename: H
authors.initials: H
authors.lastname: Kassem
authors.affiliation: Service de médecine interne, centre hospitalier Sud-Essonne, site Dourdan, 2, rue du Potelet, 91410 Dourdan, France.
authors.forename: K
authors.initials: K
authors.lastname: Khamadi
authors.affiliation: Service de laboratoire, centre hospitalier Sud-Essonne, site Dourdan, 2, rue du Potelet, 91410 Dourdan, France.
authors.forename: C
authors.initials: C
authors.lastname: Farrugia
authors.affiliation: Service de médecine interne, centre hospitalier Sud-Essonne, site Dourdan, 2, rue du Potelet, 91410 Dourdan, France.
authors.forename: N
authors.initials: N
authors.lastname: Ho Hio Hen
authors.affiliation: Service de médecine interne, centre hospitalier Sud-Essonne, site Dourdan, 2, rue du Potelet, 91410 Dourdan, France.
authors.forename: T
authors.initials: T
authors.lastname: El Gharbi
authors.affiliation: Service de médecine interne, centre hospitalier Sud-Essonne, site Dourdan, 2, rue du Potelet, 91410 Dourdan, France.
authors.forename: L
authors.initials: L
authors.lastname: Turner
mesh_terms: D000328:Adult; D003587:Cytomegalovirus / Q000302:isolation & purification; D003586:Cytomegalovirus Infections / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007121:Immunocompetence; D013159:Splenic Infarction / Q000175:diagnosis* / Q000821:virology*
keywords: Cytomegalovirus; Cytomégalovirus; Infarctus splénique; Splenic infarct; Thrombose; Thrombosis