Volume 40, Number 5, October 2007
| | Cytomegalovirus ureteritis — an unreported cause of hematuria in an immunocompetent individual |
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Tanmaya Goel1, Sreedhar Reddy1, Joseph Thomas1, Ranjani Kudva2, Shveta Garg2
Departments of 1Urology and 2Pathology, Kasturba Medical College, Manipal, India
Received: November 14, 2006 Revised: March 10, 2007 Accepted: April 14, 2007
Corresponding author: Dr. Tanmaya Goel, Department of Urology, Kasturba Medical College, Manipal 576 104, Karnataka, India. E-mail:
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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.
Key words: Cytomegalovirus; Hematuria; Immunocompetence; Surgery
J Microbiol Immunol Infect. 2007;40:450-451.
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