Cheng Jen-Wei, Chen Yung-Chang, Tian Ya-Chung, Fang Ji-Tseng, Yang Chih-Wei
Department of Nephrology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taipei - Taiwan.
J Nephrol. 2007 Jan-Feb;20(1):114-8.
Infections are the leading cause of morbidity and mortality during the early posttransplant period. Of these infections, pulmonary infections are the most serious. Bacteria are the leading pathogen, followed by various opportunistic pathogens, such as cytomegalovirus (CMV) and mycobacterium tuberculosis. This investigation describes a 52-year-old male with a rare coinfection of CMV pneumonitis and miliary tuberculosis, 2 months after renal transplantation. This is the first case report of a coinfection with cytomegalovirus and Mycobacterium tuberculosis presenting with diffuse pulmonary miliary lesions.
感染是移植后早期发病和死亡的主要原因。在这些感染中,肺部感染最为严重。细菌是主要病原体,其次是各种机会性病原体,如巨细胞病毒(CMV)和结核分枝杆菌。本研究描述了一名52岁男性,在肾移植后2个月出现罕见的CMV肺炎和粟粒性结核合并感染。这是首例巨细胞病毒与结核分枝杆菌合并感染并伴有弥漫性肺部粟粒性病变的病例报告。