{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T12:20:59Z","timestamp":1792844459438,"version":"4.5.0"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,3,20]],"date-time":"2021-03-20T00:00:00Z","timestamp":1616198400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>CMV infection is one of the most common opportunistic infection in kidney transplant patients. If not treated, it is associated with increased mortality and graft loss. It can present as viremia or CMV disease in the form of CMV syndrome or tissue invasive CMV disease. The cutaneous presentation of CMV disease is a rare finding. Its identification is vital as cutaneous CMV infection can signal systemic infection and poor prognosis. In our case, 46\u2010year\u2010old male who was a post renal allograft recipient (RAR) presented as a protuberant growth over the medial side of the left ankle. On skin biopsy, nucleomegaly and inclusion bodies were seen in the epithelial cells. Immunohistochemistry was positive for CMV infection. Patient was treated with Ganciclovir, however, he succumbed to death because of severe sepsis due to secondary bacterial infection. Thus, CMV disease should always be kept in mind in immunocompromised patients like post RAR patients who present with cutaneous features like ulcerative lesions or fungating growth.<\/jats:p>","DOI":"10.1111\/tid.13590","type":"journal-article","created":{"date-parts":[[2021,2,28]],"date-time":"2021-02-28T12:27:00Z","timestamp":1614515220000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["CMV presenting as a skin growth in renal transplant patient"],"prefix":"10.1111","volume":"23","author":[{"given":"Gaurav","family":"Bhandari","sequence":"first","affiliation":[{"name":"Department of Nephrology Sir Ganga Ram Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0128-0959","authenticated-orcid":false,"given":"Vaibhav","family":"Tiwari","sequence":"additional","affiliation":[{"name":"Department of Nephrology Sir Ganga Ram Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anurag","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Nephrology Sir Ganga Ram Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunila","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Nephrology Sir Ganga Ram Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pallav","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Nephrology Sir Ganga Ram Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinant","family":"Bhargava","sequence":"additional","affiliation":[{"name":"Department of Nephrology Sir Ganga Ram Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish","family":"Malik","sequence":"additional","affiliation":[{"name":"Department of Nephrology Sir Ganga Ram Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwani","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Nephrology Sir Ganga Ram Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil Kumar","family":"Bhalla","sequence":"additional","affiliation":[{"name":"Department of Nephrology Sir Ganga Ram Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devender Singh","family":"Rana","sequence":"additional","affiliation":[{"name":"Department of Nephrology Sir Ganga Ram Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.6061\/clinics\/2015(07)09"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.54.2.84"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000018381"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(04)01202-2"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-3062.2001.003001047.x"},{"key":"e_1_2_8_7_1","volume-title":"undefined","author":"Golden M","year":"1994"},{"key":"e_1_2_8_8_1","unstructured":"Dermatology RP\u2010J of the AA of 1983 undefined.Histologically specific skin lesions in disseminated cytomegalovirus infection.Elsevier."},{"issue":"1","key":"e_1_2_8_9_1","article-title":"Cutaneous cytomegalovirus manifestations, diagnosis, and treatment: a review","volume":"25","author":"Drozd B","year":"2019","journal-title":"Dermatology"},{"issue":"4","key":"e_1_2_8_10_1","first-page":"443","article-title":"Mucocutaneous presence of cytomegalovirus associated with human immunodeficiency virus infection: discussion regarding its pathogenetic role","volume":"137","author":"Daud\u00e9n E","year":"2001","journal-title":"Arch Dermatol"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2006.07456.x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1086\/424677"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.5812\/numonthly.1844"},{"key":"e_1_2_8_14_1","unstructured":"pathology JL\u2010A journal of clinical. undefined.Cytomegalovirus infection involving the skin in immunocompromised hosts: a clinicopathologic study.1989;academic.oup.com"},{"issue":"6","key":"e_1_2_8_15_1","first-page":"649","article-title":"Ureterostomy cytomegalovirus infection presenting as stoma ulceration in a kidney allograft receptor: a case 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