A case of human orf in an immunocompromised patient treated successfully with cidofovir cream

Immunocompromised patients may have severe forms of infections. Since there is an increasing number of patients maintained under immunosuppressive the rapy, we will be confronted with increasing frequency with these infectious problems. Effective treatments will be of great value. The case is describ ed of a renal transplant with a giant orf lesion, which continued growing i nstead of regressing spontaneously as is observed usually. The treatment op tions in such patients are limited. It was decided to treat the patient wit h the antiviral drug cidofovir (HPMPC, Vistide(R)). Topical cidofovir treat ment resulted in complete regression of the lesion. This case is discussed in the context of the known literature on orf (ecthyma contagiosum). J. Med . Virol. 64:543-549, 2001. (C) 2001 Wiley-Liss, Inc.