Emergence of multiple human cytomegalovirus ganciclovir-resistant mutants with deletions and substitutions within the UL97 gene in a patient with severe combined immunodeficiency

Infection with multiple ganciclovir-resistant human cytomegalovirus mutants , containing different substitutions and deletions in the UL97 gene, was fo und in a patient with severe combined immunodeficiency (SCID) within 3 week s of ganciclovir therapy. A novel 11-codon deletion at positions 590 to 600 was identified. These unique findings may be related to the nature of the immunodeficiency in the SCID patient.