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Published on: July 9, 2014
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.
Abstract:
In the past few years several studies have supported an interplay between cytomegalovirus infections and a prothrombotic state. We describe a case of primary cytomegalovirus infection in an immunocompetent adult that was complicated with mesenteric vein thrombosis. Transient protein C deficiency, lupus anticoagulant and activated protein C resistance were found, in combination with a heterozygous prothrombin G20210A mutation. We discuss the possible mechanisms of cytomegalovirus-related venous thrombosis.
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