Case Report
 
Cytomegalovirus transverse myelitis in a non-immunocompromised patient
Binju Bose1, Sonia Gera1, Tasfia Hoque1, Gaurav Kapoor1, Hamza Khalid1, Michelle El-Hajjaoui2, Philippe Vaillancourt3, Sandeep A. Gandhi4, Mahmood Afghani5
1New York College of Osteopathic Medicine 4th Year Medical Students.
2Resident in General Medicine, at Peconic Bay Medical Center-Northwell Health.
3Consultant in Neurology at Peconic Bay Medical Center-Northwell Health.
4Consultant in Infectious Disease at Peconic Bay Medical Center-Northwell Health.
5Co-chair of Department of Medicine, Hospitalist at Peconic Bay Medical Center-Northwell Health.

Article ID: Z01201701CR10740MK
doi:10.5348/ijcri-201701-CR-10740

Address correspondence to:
Sandeep A. Gandhi
MD FACP FIDSA, Consultant in Infectious Disease at Peconic Bay Medical Center-Northwell Health
1300 Roanoke Ave, Riverhead
NY 11901
USA

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How to cite this article
Bose B, Gera S, Hoque T, Kapoor G, Khalid H, El-Hajjaoui M, Vaillancourt P, Gandhi SA, Afghani M. Cytomegalovirus transverse myelitis in a non-immunocompromised patient. Int J Case Rep Images 2017;8(1):26–29.


Abstract
Cytomegalovirus (CMV) is known to be an opportunistic infection that causes a diverse clinical spectrum of disease states including retinitis, pharyngitis, adenitis, pneumonitis, hepatitis, and cystitis. We present a rare case of transverse myelitis in a non-immunocompromised patient found to be caused by cytomegalovirus. The patient's serum CMV titer was found to be very elevated and his initial magnetic resonance imaging scan revealed a signal abnormality in the spinal cord consistent with a transverse myelitis. This case report is intended to highlight the significance of developing a standard protocol to efficiently identify and treat transverse myelitis caused by cytomegalovirus in immunocompetent hosts and to reduce poor outcomes.

Keywords: Cytomegalovirus, Immunocompetent host, Paralysis, Transverse myelitis


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Author Contributions
Binju Bose – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sonia Gera – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Tasfia Hoque – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Gaurav Kapoor – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Hamza Khalid – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Michelle El-Hajjaoui – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Philippe Vaillancourt – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Sandeep A. Gandhi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mahmood Afghani – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Binju Bose et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.