CMV Renal Transplant Recipients - Scoring System - Medical Algorithm

Are you evaluating a renal transplant patient with a CMV infection?

Yes

Duration of fever

days

Temperature during fever taken either orally or rectally

WBC cell count

Platelet count

Are liver function tests elevated to 2 or more times the upper limit of normal?

Yes

Is the patient jaundiced?

Yes

Serum creatinine

Best serum creatinine after transplantation

Has the patient had to have a nephrectomy?

Yes

Is the patient on permanent dialysis because of the CMV infection?

Yes

Does the patient have gastrointestinal bleeding or ulceration proven by biopsy to be due to CMV infection?

Yes

Is there evidence of arthritis?

Yes

Is there evidence of muscle wasting?

Yes

Is there evidence of superinfection by bacteria, fungi or protozoa?

Yes

Select an appropriate answer for each finding

CNS status

Respiratory status

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10

Score of Plotkin et al for Determining Severity of Cytomegalovirus Infection in Renal Transplant Recipients

Purpose: To evaluate the severity of cytomegalovirus (CMV) infection in a renal transplant patient using the severity score of Plotkin et al.