Click for new scientific resources and news about Corona[COVID-19]

Paper Information

Journal:   ACTA MEDICA IRANICA   2003 , Volume 41 , Number 2; Page(s) 122 To 125.
 
Paper: 

ASPERGILLOSIS FOLLOWING CYTOMEGALON71RUS DISEAS IN A KIDNEY TRANSPLANT PATIENT

 
 
Author(s):  AMERI SH., BOROUMAND BEHROUZ
 
* 
 
Abstract: 
A 32-year-old end stage renal disease (ESRD) woman was scheduled for transplantation. Also, she has had fever o unknown origin (FUO), rise of ESR and PPD> 22 mm. Therefore treatment with isoniazid and rifampin was started three months prior to transplantation. She developed allograft dysfunction one week after transplantation. She received a few course pulse therapy (methyl prednisoione), antilymphocyte globulin (ALG), hemodialysis and because of low blood level of cyclosporme, isoniazid and rifampin were stopped. She was seen because of unilateral decreased vision, fever, cough and in physical examination, chorioretinitis and bilateral infiltration in both lungs were seen three weeks later. Severe cytomegalovirus (CMV) antigenemia was detected and she responded rapidly to gancyclovir. One month later, she complained of fever and productive cough again. In chest X-ray (CXR), cavitary lesions were shown and with transthoracic biopsy, invasive aspergillosis was detected. In spite of amphotericin B therapy, she developed CNS involvement. Unfortunately she expired six months post transplantation. This is an interesting case of aspergillosis following CMV infection most likely because of an excess of immunosuppression. `
 
Keyword(s): CMV, ASPERGILLOSIS, TRANSPLANTATION, KIDNEY
 
References: 
 
  pdf-File tarjomyar Yearly Visit 78
 
Latest on Blog
Enter SID Blog