CMV is acquired most commonly early in life, during childhood to early adulthood, through exposure to sa liva, tears, urine, stool, breast milk, semen, and other bodily secretions from infected individuals. The virus has been showntoretainviabilityforupto6hoursoncertain surfaces, and therefore, transmission via fomites is possi- ble ( 5). It can also be transmitted efficiently via organ and tissue transplantation and blood transfusions ( 6–9); leu- koreduction of blood products have markedly r educed the risk of transfusion-transmitted CMV infections ( 7, 9, 10)