TY - JOUR
AU - Moorman, Jonathan P.
AB - ANSWER TO PHOTO QUIZ Philip A. Mackowiak, Section Editor (See page 1093 for Photo Quiz) Figure 1. CT scans of the abdomen 1 year prior to the onset of illness (left panel) and at the time of presentation (right panel). Marked hepatosplenomegaly and splenic infarcts are evident in the later image (right panel; arrows). Diagnosis: Acute cytomegalovirus (CMV) infection in an reported the first case of a CMV-related splenic infarct in a 26- immunocompetent host. year-old immunocompetent woman, and Ofotokun et al. [1] This patient was admitted to the hospital, and serologic test- described a 50-year-old immunocompetent man with splenic ing for CMV revealed positive IgM and IgG responses. PCR of infarcts related to CMV infection. Hepatic and portal vein a blood sample for CMV DNA revealed 3500 copies/mm . Be- thrombosis due to CMV infection has also been described in cause of her severe and prolonged symptoms, the patient re- immunocompetent individuals [4–6]. CMV-associated vascu- ceived oral valgancyclovir (900 mg b.i.d.), with resolution of lopathy is more common among immunocompromised pa- fever within 24 h after initiation of therapy. At a 2-week follow- tients—in particular, transplant recipients and HIV-infected up visit, she noted complete resolution of all of 
TI - A 45-Year-Old Woman with Fever and Splenic Infarcts
JO - Clinical Infectious Diseases
DO - 10.1086/378299
DA - 2003-10-15
UR - https://www.deepdyve.com/lp/oxford-university-press/a-45-year-old-woman-with-fever-and-splenic-infarcts-Ry5lOgD0oQ
SP - 1125
EP - 1126
VL - 37
IS - 8
DP - DeepDyve
ER -