A Case Report of CMV Lymphadenitis in an Adult Kidney Transplant Recipient

•We present an unusual presentation of CMV lymphadenitis in a kidney transplant patient.•We present a case of CMV disease refractory to ganciclovir therapy with marked improvement on administration of CMV hypergammaglobulin.•We highlight the importance of the transition from pediatric to adult medicine.

Cytomegalovirus (CMV) infection following kidney transplantation is associated with increased morbidity and mortality. In this case report we describe a case of a 23-year-old woman with an unusual presentation of diffuse CMV lymphadenitis following kidney transplantation that did not respond to gangiclovir therapy. This case highlights the atypical presentation of CMV disease in a kidney transplant recipient, the importance of CMV hypergammaglobulin in the treatment of CMV infection post kidney transplantation, and the difficulties in transitioning care from pediatric to adult transplant programs.