COVID-19 and Cytomegalovirus Co-infection: A Challenging Case of a Critically Ill Patient with Gastrointestinal Symptoms
Pedro Henrique de Freitas Amaral, Bernadete Ferreira, Sérgio Roll, Precil Diego Miranda de Menezes Neves, LUCA GIOVANNI ANTONIO PIVETTA, Sara Mohrbacher, Eduardo Rullo Maranhão Dias, Victor Augusto Hamamoto Sato, Érico de Souza Oliveira, Leonardo Pereira, Alessandra Martins Bales, Luciana Nardoto, jessica Ferreira, Américo Lourenço Cuvello-Neto, Pedro Renato Chocair
Abstract
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. LEARNING POINTS: We describe a case of COVID-19 and cytomegalovirus (CMV) co-infection in a critically ill patient.Clinical symptoms simulated mesenteric vascular involvement and intestinal obstruction.The successful management of invasive CMV colitis in a patient with COVID-19 with atypical symptoms is described.