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Cytomegalovirus ulcerB25.9

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Cytomegaly ulcus

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DefinitionThis section has been translated automatically.

Torpidal, ulcerous, local cytomegalovirus infection (see below cytomegaly), which occurs in immunocompromised patients.

EtiopathogenesisThis section has been translated automatically.

CMV infection, the origin is unclear; both disseminated and local infections are discussed.

LocalizationThis section has been translated automatically.

Mainly on the genital region, perianal region, also orally (Drozd B et al. 2019); rarely on the lower extremities.

Clinical featuresThis section has been translated automatically.

Large (2.0-20 cm in diameter) and deep-reaching, sharply defined, painful ulcer penetrating the subcutis and muscles in immunocompromised patients (especially those infected with HIV).

Differential diagnosisThis section has been translated automatically.

Bacterial ulcers

Fournier gangrene(Gangraena acuta genitalium)

Internal therapyThis section has been translated automatically.

Successes have been described with the preparation Valganciclovir, also with Foscarnet and Ganciclovir.

LiteratureThis section has been translated automatically.

  1. Class U et al (2008) Skin infections in organ transplant patients. JDDG 6: 98-105Drozd
    B et al (2019) Cutaneouscytomegalovirus
    manifestations, diagnosis, and treatment: a review. DermatolOnline
    J 25:13030/qt84f936cp.
  2. Lambert EM et al (2004) Cytomegalovirus ulcer. Arch Dermatol 140: 1199-2101

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Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer