title: An unusual case of CMV cutaneous ulcers in a renal transplant recipient and review of literature.
abstract: Cytomegalovirus (CMV) infection involving the skin is rare. We present a case of a renal transplant recipient who developed fever and axillary, scrotal and penile skin ulcers after renal transplantation. The skin ulcers did not heal with antibiotics. The skin biopsy revealed CMV inclusion bodies, CMV antigen on immunohistochemistry and high CMV DNA copies. The patient was diagnosed with CMV cutaneous ulcers. The skin ulcers healed after treatment with intravenous ganciclovir and oral valganciclovir. The diagnosis of CMV disease should be considered in the febrile immunosuppressed patient with skin ulcers. The biopsy of the cutaneous lesions may provide the diagnostic clue in such patients.
authors.affiliation: Department of Nephrology and Pathology , Sanjay Gandhi Postgraduate Institute of Medical Sciences , Lucknow , India.
authors.forename: Narayan
authors.initials: N
authors.lastname: Prasad
authors.affiliation: Department of Nephrology and Pathology , Sanjay Gandhi Postgraduate Institute of Medical Sciences , Lucknow , India.
authors.forename: Manoj
authors.initials: M
authors.lastname: Jain
authors.affiliation: Department of Nephrology and Pathology , Sanjay Gandhi Postgraduate Institute of Medical Sciences , Lucknow , India.
authors.forename: Amit
authors.initials: A
authors.lastname: Gupta
authors.affiliation: Department of Nephrology and Pathology , Sanjay Gandhi Postgraduate Institute of Medical Sciences , Lucknow , India.
authors.forename: Raj K
authors.initials: RK
authors.lastname: Sharma
authors.affiliation: Department of Nephrology and Pathology , Sanjay Gandhi Postgraduate Institute of Medical Sciences , Lucknow , India.
authors.forename: Vinita
authors.initials: V
authors.lastname: Agarwal
keywords: cytomegalovirus infection; renal allograft recipient; skin ulcers