Cytomegalovirus is the most common viral infection after kidney transplantation. Clinical
presentations of cytomegalovirus infection range from asymptomatic infection to
organ-specific involvement. Most symptomatic infections manifest as fever and cytopenia.
The gastrointestinal tract is the most common site of tissue-invasive infection,
often presenting as diarrhea or gastrointestinal bleeding. Gastrointestinal obstruction,
perforation, thrombosis of large gastrointestinal veins, splenic artery thrombosis,
and pancreatitis are rare gastrointestinal presentations of cytomegalovirus infection.
Renal-allograft ureteral stricture and skin involvement are other rare presentations of
cytomegalovirus infection. hemophagocytic syndrome, thrombotic microangiopathy,
adrenal insufficiency, and renal allograft artery stenosis are other rare symptoms of cytomegalovirus
Cytomegalovirus , lymphohistiocytosis , hemophagocytic , Kidney Transplantation