First report of sexually transmitted primary cytomegalovirus proctocolitis in a renal transplant recipient.

While possible that another mode of primary transmission contributed to this infection (eg saliva exchange), the patient's concomitant diagnosis of primary HSV-2 perianal infection suggested that unprotected anal intercourse was the very likely mode of transmission for both herpesviruses. Keywords: colitis; cytomegalovirus; proctitis; proctocolitis; sexually transmitted; transplant EN colitis cytomegalovirus proctitis proctocolitis sexually transmitted transplant 1 3 3 02/10/22 20220201 NES 220201 Abbreviations CMV cytomegalovirus HBV hepatitis B virus HIV human immunodeficiency virus HPV human papillomavirus HSV-2 herpes simplex virus-2 MSM men who have sex with men SOT solid organ transplant ACKNOWLEDGEMENTS Daniel S. Strand, MD obtained endoscopic images in Figure 1A. Ashley P. Craddock, MD and Edward B. Stelow, MD prepared and interpreted the pathology included in Figure 1B. This report emphasizes the importance of a rigorous, structured, patient-centred approach to patient care and counseling as pediatric patients learn to take on the challenging responsibilities associated with successful health maintenance after transplant. [Extracted from the article]