Cytomegalovirus ureteritis — an unreported cause of hematuria in an immunocompetent individual

Tanmaya Goel, Sreedhar Reddy, Joseph Thomas, Ranjani Kudva, Shveta Garg
Departments of Urology and Pathology, Kasturba Medical College, Manipal, India

Received: November 14, 2006    Revised: March 10, 2007    Accepted: April 14, 2007   

Dr. Tanmaya Goel, Department of Urology, Kasturba Medical College, Manipal 576 104, Karnataka, India. E-mail: Dr. Tanmaya Goel This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
 

A middle-aged woman presented with painless hematuria and passage of large clots. Two weeks earlier, she had pyrexia with upper respiratory tract symptoms. Imaging studies revealed no lesions of the urinary tract. Cystoscopy showed clots and oozing of blood from the left ureteric orifice. Urine cytology and mucosal biopsies were normal. Left nephroureterectomy was done as an emergency procedure; the hematuria stopped following the procedure. Histopathology revealed cytomegalovirus inclusion bodies in the mucosa of the excised ureter. This unusual presentation of hematuria has not been reported previously.

 

Cytomegalovirus; Hematuria; Immunocompetence; Surgery

 

J Microbiol Immunol Infect. 2007;40:450-451.