title: Can skin be the first site of CMV involvement preceding a systematic infection in a renal transplant recipient?
abstract: Cytomegalovirus (CMV) is an important and well-described opportunistic virus in renal transplant recipients (RTRs) with infection occurring mainly after the first month post-renal transplant. CMV can present as primary infection, reinfection or reactivation of latent disease. Skin manifestations are rare and variable, and diagnosis is often delayed. We present one case of skin CMV ulcer of perineal areas without systemic symptoms of CMV disease and a negative quantitative polymerase chain reaction. This case serves to illustrate the protean nature of CMV disease in RTR.
authors.affiliation: Renal Unit , Careggi University Hospital , Florence Italy.
authors.forename: Luciano
authors.initials: L
authors.lastname: Moscarelli
authors.affiliation: Renal Unit , Careggi University Hospital , Florence Italy.
authors.forename: Maria
authors.initials: M
authors.lastname: Zanazzi
authors.affiliation: Renal Unit , Careggi University Hospital , Florence Italy.
authors.forename: Giuseppina
authors.initials: G
authors.lastname: Rosso
authors.affiliation: Renal Unit , Careggi University Hospital , Florence Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Farsetti
authors.affiliation: Renal Unit , Careggi University Hospital , Florence Italy.
authors.forename: Leonardo
authors.initials: L
authors.lastname: Caroti
authors.affiliation: Renal Unit , Careggi University Hospital , Florence Italy.
authors.forename: Filomena
authors.initials: F
authors.lastname: Annunziata
authors.affiliation: Renal Unit , Careggi University Hospital , Florence Italy.
authors.forename: Nunzia
authors.initials: N
authors.lastname: Paudice
authors.affiliation: Renal Unit , Careggi University Hospital , Florence Italy.
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Bertoni
authors.affiliation: Renal Unit , Careggi University Hospital , Florence Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Salvadori
keywords: cutaneous; cytomegalovirus; renal transplant