Evidence map›Paper›PMID 42401812›Full record

ArticleBMC infectious diseases2026

Cytomegalovirus enteritis in a patient with AKI after type B aortic dissection surgery: a case report.

Tongkai Ge, Junqiang Qiu, Zhenzhong Wang, Heng Zuo, Kan Zhou, Changjiang Yu, Huanlei Huang, Tucheng Sun, Yingkai Xiao

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Tongkai Ge *Intensive Care Unit, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, P.R. China.
Junqiang Qiu *Department of Cardiac Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, P.R. China.
Zhenzhong WangDepartment of Cardiac Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, P.R. China.
Heng ZuoGuangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510100, P. R. China.
Kan ZhouDepartment of Cardiac Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, P.R. China.
Changjiang YuDepartment of Cardiac Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, P.R. China.
Huanlei HuangDepartment of Cardiac Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, P.R. China.
Tucheng SunDepartment of Cardiac Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, P.R. China. suntucheng@126.com.
Yingkai XiaoIntensive Care Unit, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, P.R. China. xiaoyingkai@gdph.org.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCytomegalovirus (CMV) enteritis is an uncommon clinical entity that frequently predisposes to severe complications, such as gastrointestinal (GI) hemorrhage and perforation, and is associated with substantial mortality. CASE PRESENTATION: We herein present the management of a case of CMV enteritis in a patient with "relative immunosuppression". The patient had a prior history of abdominal aortic replacement and bypass surgery for a type B aortic dissection, following which he developed acute kidney injury (AKI) stage 3 according to KDIGO guidelines. Approximately five weeks after the operation, he presented with massive gastrointestinal hemorrhage and was subsequently diagnosed with CMV enteritis. Treatment included exploratory laparotomy and antiviral therapy with ganciclovir combined with intravenous immunoglobulin, culminating in a successful recovery.

conclusionThis case suggests that post-surgical AKI and stress-induced relative immunosuppression may be contributing factors for CMV enteritis in patients without traditional immunocompromise. CT imaging was valuable for early detection of small bowel bleeding in this patient. Prompt surgical intervention may be life-saving for CMV enteritis with life-threatening hemorrhage, providing essential pathological confirmation, while antiviral therapy remains first-line. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Acute Kidney InjuryAortic DissectionCytomegalovirus InfectionsEnteritisPostoperative ComplicationsAntiviral AgentsCytomegalovirusGanciclovirGastrointestinal HemorrhageHumansMaleAntiviral AgentsGanciclovirAcute kidney injuryCytomegalovirus enteritisObscure gastrointestinal bleedRelative immunosuppressionSurgical interventionType B aortic dissection

Identifiers

PMID42401812
PMCPMC13679230

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.