Case report describes complications from primary cytomegalovirus infection, indicating essential clinical awareness for early diagnosis.
Key Points
To explore rare complications such as spontaneous splenic rupture and thrombosis during primary cytomegalovirus infection in an otherwise healthy individual.
Case report of a 25-year-old male with primary CMV infection presenting with abdominal symptoms and splenomegaly.
Diagnostic imaging revealed significant splenomegaly and subsequent splenic rupture, leading to splenectomy and initiation of ganciclovir treatment.
Management included temporary placement of an inferior vena cava filter and eventual thrombectomy due to extensive venous thrombosis.
Patient exhibited spontaneous splenic rupture after developing severe abdominal pain, anemia with a platelet count of 26,000/mm³, requiring emergency splenectomy.
Follow-up showed development of thrombosis across multiple venous territories including iliac, mesenteric, and inferior vena cava.
Post-treatment, the patient stabilized hemodynamically and improved clinically after restarting oral anticoagulation.