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Spontaneous splenic rupture in primary cytomegalovirus infection
Nicolas Maillard1, Martial Koenig, Sylvie Pillet
1Department of internal medicine, Hôpital Nord, Saint-Etienne, Cedex.
Introduction:
Spontaneous splenic rupture is a rare occurrence in primary cytomegalovirus infection.
Cases:
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.
Discussion:
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.
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