COVID-19 and Cytomegalovirus Co-infection: A Challenging Case of a Critically Ill Patient with Gastrointestinal Symptoms

  • Pedro HF Amaral Gastrointestinal Surgery Service, Oswaldo Cruz German Hospital, São Paulo-SP, Brazil
  • Bernadete MC Ferreira Internal Medicine Service, Oswaldo Cruz German Hospital, São Paulo-SP, Brazil
  • Sergio Roll Gastrointestinal Surgery Service, Oswaldo Cruz German Hospital, São Paulo-SP, Brazil
  • Precil DMM Neves Internal Medicine Service, Oswaldo Cruz German Hospital, São Paulo-SP, Brazil
  • Luca GA Pivetta Gastrointestinal Surgery Service, Oswaldo Cruz German Hospital, São Paulo-SP, Brazil
  • Sara Mohrbacher Internal Medicine Service, Oswaldo Cruz German Hospital, São Paulo-SP, Brazil
  • Eduardo RM Dias Gastrointestinal Surgery Service, Oswaldo Cruz German Hospital, São Paulo-SP, Brazil
  • Victor AH Sato Internal Medicine Service, Oswaldo Cruz German Hospital, São Paulo-SP, Brazil
  • Érico S Oliveira Internal Medicine Service, Oswaldo Cruz German Hospital, São Paulo-SP, Brazil
  • Leonardo VB Pereira Internal Medicine Service, Oswaldo Cruz German Hospital, São Paulo-SP, Brazil
  • Alessandra M Bales Internal Medicine Service, Oswaldo Cruz German Hospital, São Paulo-SP, Brazil
  • Luciana L Nardotto Internal Medicine Service, Oswaldo Cruz German Hospital, São Paulo-SP, Brazil
  • Jéssica N Ferreira Internal Medicine Service, Oswaldo Cruz German Hospital, São Paulo-SP, Brazil
  • Américo L Cuvello-Neto Internal Medicine Service, Oswaldo Cruz German Hospital, São Paulo-SP, Brazil
  • Pedro R Chocair Internal Medicine Service, Oswaldo Cruz German Hospital, São Paulo-SP, Brazil

Keywords

Colitis, COVID-19, cytomegalovirus, immunosuppression, intensive care unit

Abstract

COVID-19 is a severe disease that has reached pandemic status. To the best of our knowledge, we describe the first case of COVID-19 and cytomegalovirus (CMV) co-infection in a critically ill patient. We discuss the challenge of establishing the diagnosis as well as the management of tissue-invasive gastrointestinal CMV infection (TI-GI CMV) simulating vascular involvement and intestinal obstruction in a critically ill patient.

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Published: 2020-09-02

Issue: Vol 7 No 10 (view)

Section: Articles

How to cite:
1.
Amaral P, Ferreira B, Roll S, Neves P, pivetta luca, Mohrbacher S, Dias E, Sato V, Oliveira Érico, Pereira L, Bales A, Nardoto L, Ferreira jessica, Cuvello-Neto A, Chocair P. COVID-19 and Cytomegalovirus Co-infection: A Challenging Case of a Critically Ill Patient with Gastrointestinal Symptoms. EJCRIM 2020;7 doi:10.12890/2020_001911.