Four cases of CMV ureteritis: emergence of a new pattern of disease?

Although cytomegalovirus (CMV) infection is common in renal transplant reci pients, urinary tract involvement has been rare. Only six cases of symptoma tic ureteritis have been reported in renal transplant recipients and all wi thin the last five years. We describe an additional four cases of CMV urete ritis. The presentation of CMV ureteritis is obstructive nephropathy often in the absence of systemic illness. Presentation may also mimic allograft r ejection with minimal obstructive symptoms. We hypothesize that CMV ureteri tis is an emerging compliC cation of CMV disease, possibly due to changes i n transplant practice.