{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:03:50Z","timestamp":1756339430118,"version":"3.44.0"},"reference-count":3,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,2,26]]},"abstract":"<jats:p>A 27-year-old woman was admitted to the emergency department with fever and a petechial rash on suspicion of meningitis. Shortly after arriving she developed cardiac arrest. Blood work up showed severe lactate acidosis, anaemia and thrombocytopenia. A focused assessment with sonography in trauma scan showed free intraperitoneal fluid and an emergency laparotomy revealed massive bleeding from a ruptured spleen. The patient was successfully resuscitated. She proved to be infected with cytomegalovirus causing idiopathic thrombocytopenic purpura, splenomegaly and splenic rupture. She was treated for 14\u2005days with ganciclovir and meropenem and discharged on recovery. Atraumatic splenic rupture caused by viral infection is a rare condition although well described. In the case of our patient, thrombocytopenia added to the severity of the splenic rupture. A multidisciplinary team approach was essential for the management and the eventual recovery of the patient.<\/jats:p>","DOI":"10.1136\/bcr-2014-208094","type":"journal-article","created":{"date-parts":[[2015,3,27]],"date-time":"2015-03-27T11:02:05Z","timestamp":1427454125000},"page":"bcr2014208094","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Successful emergency splenectomy during cardiac arrest due to cytomegalovirus-induced atraumatic splenic rupture"],"prefix":"10.1136","volume":"2015","author":[{"given":"Matilde Kanstrup","family":"Glesner","sequence":"first","affiliation":[{"name":"Department of Infectious Disease, Odense University Hospital, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristian Roerbaek","family":"Madsen","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care, Odense University Hospital, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesper Meng Rahn","family":"Nielsen","sequence":"additional","affiliation":[{"name":"Surgical Department A, Odense University Hospital, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Posth","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Odense University Hospital, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,3,26]]},"reference":[{"key":"2025082703550782000_2015.mar26_1.bcr2014208094.1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-227X-12-11"},{"key":"2025082703550782000_2015.mar26_1.bcr2014208094.2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6737"},{"key":"2025082703550782000_2015.mar26_1.bcr2014208094.3","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1111\/j.1365-2141.2009.07714.x","article-title":"Cytomegalovirus can make immune thrombocytopenic purpura refractory","volume":"46","author":"DiMaggio","year":"2009","journal-title":"Br J Hematol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-208094","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:55:12Z","timestamp":1756292112000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-208094"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,3,26]]},"references-count":3,"alternative-id":["10.1136\/bcr-2014-208094"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-208094","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2015,3,26]]}}}