Cytomegalovirus polyradiculopathy of late onset in a young renal transplant recipient

Clin Nephrol. 2013 Jul;80(1):75-8. doi: 10.5414/cn107479.

Abstract

Although cytomegalovirus (CMV) disease in CMV IgM/IgG-negative renal transplant recipients from CMV-positive donors (D+/R-) can occur after discontinuation of prophylaxis treatment as a flu-like syndrome or tissue invasive disease, involvement of the central nervous system is rare. Here, we report a case of CMV polyradiculopathy 6 months after renal transplantation that presented as a Guillain-Barre like syndrome and was successfully treated with foscarnet. This case highlights an uncommon aspect of CMV invasive disease which we should keep in mind in CMV (D+/R-) renal transplant recipients.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antiviral Agents / therapeutic use
  • Cytomegalovirus Infections / complications*
  • Cytomegalovirus Infections / drug therapy
  • Foscarnet / therapeutic use
  • Ganciclovir / analogs & derivatives
  • Ganciclovir / therapeutic use
  • Humans
  • Kidney Transplantation / adverse effects*
  • Magnetic Resonance Imaging
  • Polyradiculopathy / diagnosis
  • Polyradiculopathy / virology*
  • Time Factors
  • Valganciclovir

Substances

  • Antiviral Agents
  • Foscarnet
  • Valganciclovir
  • Ganciclovir