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. 2012 Mar 1;4(2):431–436. doi: 10.5812/numonthly.1844

Table 2. Rare Gastrointestinal Manifestations of CMV Infection.

Age, y Sex Recipient Donor Time b Type of transplantation Induction or antirejection medication Signs Diagnosis Treatment
37 F a + + 30 d kidney Anti-CD52 Abdominal pain, bloody peritoneal fluid, leukopenia Peritoneal fluid RT-PCR c, CMV-pp65 d Peritoneal-catheter removal, medical therapy (34)
41 F - - 6 mo - ATG a Abdominal pain, Pancreatitis RT-PCR Medical therapy (36)
46 F + + 2 mo kidney Basiliximab Fever, abdominal pain, duodenal vasculitis RT-PCR Histology e, medical therapy (33)
50 M a + + 8 wk Kidney, Liver ATG Abdominal pain, duodenal vasculitis, obstruction RT-PCR Histology, surgical resection (35)
58 F + + 6 mo kidney - Fever, leukopenia, thrombocytopenia, painful hemorrhoid CMV-PP65 Ag Histology (32)
44 M ? - 2 mo Kidney OKT3 F Abdominal pain, diarrhea, leukopenia, large colonic veins thrombosis Histology Total colectomy (30)
62 M + + 4 y heart - Abdominal pain, hematochezia, colonic stenosis Histology Surgical resection (31)

aAbbreviation: ATG, antithymocyte globuline; F, female; M,male

bTime at which the complication presents after transplantation.

cRT-PCR, detection of CMV-DNA in plasma or other bodily fluid by real-time polymerase chain reaction.

dCMV-pp65, detection of CMV-PP65 antigen.

eHistology, that pathologic changes including CMV inclusion bodies have been found in involved tissues.

FOKT3 is an anti Tcell murine monoclonal anibody.