A Case of a Kidney Transplant Recipient with Pulmonary Cytomegalovirus and Nocardia Coinfection with Cytomegalovirus Nephropathy / 대한신장학회지
Korean Journal of Nephrology
;
: 161-165, 2009.
Article
in Korean
| WPRIM
| ID: wpr-88376
ABSTRACT
This is the first reported case of a kidney transplant patient in Korea who developed cytomegalovirus and Nocardia pulmonary coinfection simultaneously with cytomegalovirus nephropathy. The patient had a history of end stage renal disease on peritoneal dialysis, diabetes mellitus and pulmonary tuberculosis. He underwent unrelated living kidney transplantation in China. About 5 months after transplantation, he developed high fever and rising serum creatinine for which he was admitted to hospital. Chest CT revealed consolidation in the left upper lung field and lung biopsy showed CMV infected bronchiolitis obliterans with organizing pneumonia. Culture of lung biopsy tissue grew Nocardia farcinica. In addition, he was found to have CMV infection in kidney tissue with positive CMV antigen assay of blood. This case emphasizes that CMV infection, through its effect on systemic immunity, may increase the risk of other opportunistic infection.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumonia
/
Thorax
/
Tuberculosis, Pulmonary
/
Biopsy
/
Opportunistic Infections
/
Bronchiolitis Obliterans
/
China
/
Kidney Transplantation
/
Peritoneal Dialysis
/
Transplants
Limits:
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Korean Journal of Nephrology
Year:
2009
Type:
Article
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