Cytomegalovirus transverse myelitis in a non-immunocompromised patient

Binju Bose ； Sonia Gera ； Tasfia Hoque ； Gaurav Kapoor ； Hamza Khalid ； Michelle El-Hajjaoui ； Philippe Vaillancourt ； Sandeep A. Gandhi ； Mahmood Afghani

《International Journal of Case Reports and Images (IJCRI)》 8卷1期 (2017/01) Pp. a6+26-29

https://doi.org/10.5348/ijcri-201701-CR-10740

摘要

Cytomegalovirus (CMV) is known to be an opportunistic infection that causes a diverse clinical spectrum of disease states including retinitis, pharyngitis, adenitis, pneumonitis, hepatitis, and cystitis. We present a rare case of transverse myelitis in a non-immunocompromised patient found to be caused by cytomegalovirus. The patient’s serum CMV titer was found to be very elevated and his initial magnetic resonance imaging scan revealed a signal abnormality in the spinal cord consistent with a transverse myelitis. This case report is intended to highlight the significance of developing a standard protocol to efficiently identify and treat transverse myelitis caused by cytomegalovirus in immunocompetent hosts and to reduce poor outcomes.

關鍵字

Cytomegalovirus ； Immunocompetent host ； Paralysis ； Transverse myelitis