A 53 year old teacher is seen for routine follow up in the transplant clinic. She underwent successful cadaveric renal transplantation just under two years ago having developed ESRF secondary to IgA nephropathy. She had a stormy course post-operatively with an episode of rejection in the immediate post-transplant period. She later became unwell following infection with cytomegalovirus (CMV).
What viral infections are of a particular concern in patients who have undergone renal transplantation and what problems can they cause?
IM students, add your thoughts to this week’s discussion board.