European Journal of Case Reports in Internal Medicine (Sep 2020)

COVID-19 and Cytomegalovirus Co-infection: A Challenging Case of a Critically Ill Patient with Gastrointestinal Symptoms

  • Pedro Amaral,
  • Bernadete Ferreira,
  • Sergio Roll,
  • Precil Neves,
  • luca pivetta,
  • Sara Mohrbacher,
  • Eduardo Dias,
  • Victor Sato,
  • Érico Oliveira,
  • Leonardo Pereira,
  • Alessandra Bales,
  • Luciana Nardoto,
  • jessica Ferreira,
  • Américo Cuvello-Neto,
  • Pedro Chocair

DOI
https://doi.org/10.12890/2020_001911

Abstract

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COVID-19 is a severe disease that has reached pandemic status. To the best of our knowledge, we describe the first case of COVID-19 and cytomegalovirus (CMV) co-infection in a critically ill patient. We discuss the challenge of establishing the diagnosis as well as the management of tissue-invasive gastrointestinal CMV infection (TI-GI CMV) simulating vascular involvement and intestinal obstruction in a critically ill patient.

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