Mesenteric vein thrombosis associated with primary cytomegalovirus infection: a case report

Willem M Lijfering1, Herman G Sprenger, Willem J van Son

  • 1Division of Haemostasis, Thrombosis and Rheology, University Medical Center Groningen, Groningen, The Netherlands. w.lijfering@int.umcg.nl

Insights

Cytomegalovirus infection can trigger a prothrombotic state, leading to dangerous blood clots. This case highlights a link between cytomegalovirus and mesenteric vein thrombosis in an otherwise healthy adult.

Area of Science:

  • Virology
  • Hematology
  • Thrombosis

Background:

  • Emerging evidence suggests a connection between cytomegalovirus (CMV) infection and an increased risk of thrombosis.
  • Understanding this interplay is crucial for managing patients with CMV and preventing thrombotic events.

Observation:

  • A case of primary cytomegalovirus infection in an immunocompetent adult is presented.
  • The infection was complicated by the development of mesenteric vein thrombosis.

Findings:

  • The patient exhibited transient protein C deficiency, lupus anticoagulant, and activated protein C resistance.
  • A heterozygous prothrombin G20210A mutation was also identified in the patient.
  • These factors collectively contributed to the prothrombotic state observed during the CMV infection.

Implications:

  • This case underscores the potential for cytomegalovirus to induce a prothrombotic state, even in immunocompetent individuals.
  • Further research into the mechanisms underlying CMV-related thrombosis is warranted.
  • Clinical vigilance for thrombotic complications in patients with cytomegalovirus infection is recommended.

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