Cerebropulmonary Nodules in a Renal Allograft Recipient Zhao Huazhen Clin Infect Dis. 2016: 62
Zhao Huazhen Clin Infect Dis. 2016:62
General information 口A38-year- old male a presented with fever and chills for 2 weeks
General information p A 38-year-old male p presented with fever and chills for 2 weeks
Past medical history a ABO-compatible renal transplant 9 months prior, steroids, FK506, and mycophenolate mofetil(MMF) for immunosuppression and TMP-SMX for prophylaxIs a a biopsy-proven borderline t-cell-mediated rejection in the second post-transplant week(PtW), a single dose(1.5 mg/kg of antithymocyte globulin n CMV colitis at the 4th ptw, subsequent 3-week therapy with ganciclovir
Past medical history p ABO-compa<ble renal transplant 9 months prior, steroids, FK506, and mycophenolate mofe<l (MMF) for immunosuppression and TMP-SMX for prophylaxis p a biopsy-proven borderline T-cell-mediated rejec<on in the second post-transplant week (PTW) , a single dose (1.5 mg/kg) of an<thymocyte globulin p CMV coli<s at the 4th PTW, subsequent 3-week therapy with ganciclovir
Past medical history a Persistent leukopenia and previous cmv disease warranted stopping MMF after the 8n PTW At the 3otn ptW, the patient stopped his TMP-SMX prophylaxis owing to poor gastrointestinal tolerance
Past medical history p Persistent leukopenia and previous CMV disease warranted stopping MMF aXer the 8th PTW p At the 30th PTW, the pa<ent stopped his TMP-SMX prophylaxis owing to poor gastrointes<nal tolerance
Present history Presented with fever and chills for two weeks aAt admission, stage 2 hypertension, fungal balanoposthitis serum creatinine level of 1. 8 mg/dL, and trough FK506 level of 12. 31 ng/mL; blood PCr positive for CMv (65 000 copies/mL), and urine culture grew multidrug-resistant Escherichia coli iNtravenous meropenem, colistimethate sodium ganciclovir, and a stat dose of oral fluconazole; the daily dose of fk506 reduced
Present history Presented with fever and chills for two weeks pAt admission, stage 2 hypertension, fungal balanoposthi<s, serum crea<nine level of 1.8 mg/dL, and trough FK506 level of 12.31 ng/mL; blood PCR posi<ve for CMV (65 000 copies/mL), and urine culture grew mul<drug-resistant Escherichia coli. pIntravenous meropenem, colis<methate sodium, ganciclovir, and a stat dose of oral fluconazole; the daily dose of FK506 reduced