Challenges in diagnosing post-splenectomy cytomegalovirus mononucleosis
  • Kim Abbegail Tan Aldecoa
    Department of Internal Medicine, Trinity Health Oakland, Pontiac, USA; Wayne State University, Detroit, USA
  • Rahul Pidikiti
    Department of Internal Medicine, Trinity Health Oakland, Pontiac, USA; Wayne State University, Detroit, USA
  • Jaisal Brar
    Department of Internal Medicine, Trinity Health Oakland, Pontiac, USA; Wayne State University, Detroit, USA
  • Geetha Krishnamoorthy
    Department of Internal Medicine, Trinity Health Oakland, Pontiac, USA; Wayne State University, Detroit, USA
  • Shamla Kalyan
    Department of Infectious Diseases, Trinity Health Oakland, Pontiac, USA
  • Cecilia Cosma
    Department of Internal Medicine, Trinity Health Oakland, Pontiac, USA; Wayne State University, Detroit, USA
  • Pritha Chitagi
    Department of Internal Medicine, Trinity Health Oakland, Pontiac, USA; Wayne State University, Detroit, USA

Keywords

cytomegalovirus, post-splenectomy, CMV mononucleosis

Abstract

Cytomegalovirus (CMV) infection is often asymptomatic. However, in certain individuals, it can cause non-specific signs and symptoms that maybe hard to recognise. The condition may therefore be overlooked or misdiagnosed, leading to prolonged illness and serious sequelae. In this case report, we present a rare instance of CMV infection in an HIV-negative patient who had a remote history of splenectomy and was experiencing prolonged fever and markedly elevated white blood cell (WBC) count.

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    Published: 2024-01-08
    Issue: 2024: Vol 11 No 2 (view)

    How to cite:
    1.
    Aldecoa KAT, Pidikiti R, Brar J, Krishnamoorthy G, Kalyan S, Cosma C, Chitagi P. Challenges in diagnosing post-splenectomy cytomegalovirus mononucleosis. EJCRIM 2024;11 doi:10.12890/2024_004263.