Cytomegalovirus infection presenting as polyarticular arthritis following autologous BMT

A 39-year-old woman developed polyarticular arthritis secondary to cytomegalovirus (CMV) infection following an autologous BMT. Active CMV infection was documented by identification of CMV in cultures from synovial fluid and urine. Treatment with a combination of ganciclovir and intravenous immunoglobulin resulted in resolution of symptoms. CMV infection should be considered as a possible etiology of arthritis following transplantation.