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Coincidence of late‐onset cytomegalovirus‐induced myositis and gastritis in a pediatric renal transplant recipient
Author(s) -
Baek H.S.,
Choe B.H.,
Kim H.K.,
Huh S.,
Cho M.H.
Publication year - 2015
Publication title -
transplant infectious disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 67
eISSN - 1399-3062
pISSN - 1398-2273
DOI - 10.1111/tid.12468
Subject(s) - medicine , ganciclovir , gastroenterology , myalgia , creatine kinase , myositis , cytomegalovirus , abdominal pain , foscarnet , renal transplant , muscle weakness , immunology , transplantation , herpesviridae , human cytomegalovirus , viral disease , virus
An 8‐year‐old girl with a renal transplant was admitted for myalgia and muscle weakness in both legs over the previous 2 weeks. She also had fever and intermittent epigastric pain. Based on these clinical manifestations, and laboratory and histopathological findings, the diagnosis was coincidence of late‐onset cytomegalovirus ( CMV )‐induced myositis and gastritis in an immunocompromised child with a renal transplant. After administration of intravenous ganciclovir for 3 weeks, her symptoms resolved, with normalization of abnormal muscle enzymes, including lactate dehydrogenase, creatine kinase, aspartate aminotransferase, and the disappearance of CMV viremia.