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Cerebrospinal fluid (CSF) showed pleocytosis and was positive for anti-cytomegalovirus (CMV) IgG intrathecal antibodies, but the CSF PCR for CMV was negative. The diagnosis of immune-mediated CMV-related transverse myelitis was established and the patient was treated with methylprednisolone and valgancyclovir. The patient had poor recovery and remained paraplegic at discharge.<\/jats:p>","DOI":"10.1136\/bcr-2017-220563","type":"journal-article","created":{"date-parts":[[2017,8,11]],"date-time":"2017-08-11T14:05:16Z","timestamp":1502460316000},"page":"bcr-2017-220563","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Cytomegalovirus-related transverse myelitis in an immunocompetent host: a subacute onset of an immune-mediated disease?"],"prefix":"10.1136","volume":"2017","author":[{"given":"Xavier","family":"Merchan-del Hierro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1805-992X","authenticated-orcid":false,"given":"Alexandra","family":"Halalau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,8,11]]},"reference":[{"key":"2025042712292852000_2017.aug10_2.bcr-2017-220563.1","first-page":"167","article-title":"Transverse myelitis--a review of the presentation, diagnosis, and initial management","volume":"16","author":"West","year":"2013","journal-title":"Discov Med"},{"key":"2025042712292852000_2017.aug10_2.bcr-2017-220563.2","doi-asserted-by":"crossref","first-page":"533","DOI":"10.33588\/rn.4910.2009414","article-title":"Mielitis transversa aguda: revisi\u00f3n cl\u00ednica y algoritmo de actuaci\u00f3n diagn\u00f3stica","volume":"49","author":"G\u00f3mez-Arg\u00fcelles","year":"2009","journal-title":"Revista de Neurolog\u00eda"},{"key":"2025042712292852000_2017.aug10_2.bcr-2017-220563.3","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3181fb3638"},{"key":"2025042712292852000_2017.aug10_2.bcr-2017-220563.4","doi-asserted-by":"crossref","first-page":"7","DOI":"10.3109\/00365548.2014.964763","article-title":"Cytomegalovirus-associated transverse myelitis: a review of nine well-documented cases","volume":"47","author":"Arslan","year":"2015","journal-title":"Infect Dis"},{"key":"2025042712292852000_2017.aug10_2.bcr-2017-220563.5","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1186\/s12883-016-0761-6","article-title":"Cytomegalovirus-associated encephalomyelitis in an immunocompetent adult: a two-stage attack of direct viral and delayed immune-mediated invasions. case report","volume":"16","author":"Daida","year":"2016","journal-title":"BMC Neurol"},{"key":"2025042712292852000_2017.aug10_2.bcr-2017-220563.6","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1186\/1756-0500-5-364","article-title":"Cytomegalovirus associated transverse myelitis in an immunocompetent host with DNA detection in cerebrospinal fluid; 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