Abstract

MENESES ZURITA, Gilbert  and  MIRANDA BUSTAMANTE, Alison. Generalized Oedematous Syndrome due to Cytomegalovirus. Gac Med Bol [online]. 2023, vol.46, n.2, pp.146-149.  Epub Dec 01, 2023. ISSN 1012-2966.  https://doi.org/10.47993/gmb.v46i2.592.

The generalized edematous syndrome or anasarca is present secondary to an imbalance in the body's water, electrolyte and osmolar homeostasis. In adults, the state of anasarca is more frequent secondary to heart failure; in pediatrics, generalized edema is associated with more frequency due to low protein intake, low protein synthesis or due to protein loss of gastrointestinal or renal origin. The decrease in plasma oncotic pressure generates generalized fluid leakage into interstitial compartments and produces edema. There are multiple pathologies and mechanisms for the production of generalized edema; knowledge of the pathophysiology of its development allows a clinical, laboratory and office analysis that guides the diagnosis. Cytomegalovirus infection is a rare cause of generalized edema; recognizing this entity and reaching an appropriate differential diagnosis is the objective of this review.

Keywords : edematous syndrome; anasarca; hypoalbuminemia; hypoproteinemia; proteinuria; osmolarity; cytomegalovirus infection; Menetrier's disease.

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