Cytomegalovirus infection of a cutaneous ulcer in a patient with ANCA-positive vasculitis.
This case describes a patient in whom cytomegalovirus (CMV) infected a preexisting ulcer. The patient was immune-suppressed because of treatment for Wegener's granulomatosis. Specific antiviral therapy was delayed because of uncertainty as to the role of CMV, but the infection cleared and the ulcer improved promptly on institution of valganciclovir.
Nolan
Richard C
RC
Department of Immunology, Level 4 B Block, Fremantle Hospital, Alma Street, Fremantle, WA 6160, Australia. rich@perthnolans.com
Sadler
Genevieve M
GM
Forrest
Cynthia H
CH
Stacey
Michael C
MC
Mallon
Dominic F
DF
D000368:Aged; D000998:Antiviral Agents / Q000627:therapeutic use; D003586:Cytomegalovirus Infections / Q000209:etiology*; D015774:Ganciclovir / Q000031:analogs & derivatives / Q000627:therapeutic use; D014890:Granulomatosis with Polyangiitis / Q000188:drug therapy / Q000276:immunology*; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D014456:Ulcer / Q000188:drug therapy / Q000821:virology*; D000077562:Valganciclovir
D000998:Antiviral Agents; D000077562:Valganciclovir; D015774:Ganciclovir