DOI: 10.12890/2024_004263

Challenges in diagnosing post-splenectomy cytomegalovirus mononucleosis

Authors

  • Kim Abbegail Tan Aldecoa Department of Internal Medicine, Trinity Health Oakland, Pontiac, USA; Wayne State University, Detroit, USA
  • Rahul Pidikiti Department of Internal Medicine, Trinity Health Oakland, Pontiac, USA; Wayne State University, Detroit, USA
  • Jaisal Brar Department of Internal Medicine, Trinity Health Oakland, Pontiac, USA; Wayne State University, Detroit, USA
  • Geetha Krishnamoorthy Department of Internal Medicine, Trinity Health Oakland, Pontiac, USA; Wayne State University, Detroit, USA
  • Shamla Kalyan Department of Infectious Diseases, Trinity Health Oakland, Pontiac, USA
  • Cecilia Cosma Department of Internal Medicine, Trinity Health Oakland, Pontiac, USA; Wayne State University, Detroit, USA
  • Pritha Chitagi Department of Internal Medicine, Trinity Health Oakland, Pontiac, USA; Wayne State University, Detroit, USA

aldecoa.kim@gmail.com

Keywords

cytomegalovirus, post-splenectomy, CMV mononucleosis

Abstract

Cytomegalovirus (CMV) infection is often asymptomatic. However, in certain individuals, it can cause non-specific signs and symptoms that maybe hard to recognise. The condition may therefore be overlooked or misdiagnosed, leading to prolonged illness and serious sequelae. In this case report, we present a rare instance of CMV infection in an HIV-negative patient who had a remote history of splenectomy and was experiencing prolonged fever and markedly elevated white blood cell (WBC) count.

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References

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Published

2024-01-08

Issue

Vol. 11 No. 2 (2024)

Categories

How to Cite

1.
Aldecoa KAT, Pidikiti R, Brar J, Krishnamoorthy G, Kalyan S, Cosma C, et al. Challenges in diagnosing post-splenectomy cytomegalovirus mononucleosis. EJCRIM [Internet]. 2024 Jan. 8 [cited 2026 Nov. 3];11(2). Available from: https://ejcrim.com/index.php/ejcrim/article/view/4263