DMCA
A 43 Year-Old Woman with Fever Eleven Years after Kidney
BibTeX
@MISC{Lotfollahi_a43,
author = {Legha Lotfollahi and Payam Tabarsi and Amir Ahmad Nassiri and Arda Kiani and Farin Rashid Farokhi and Ilad Alavi and Khadijeh Makhdoomi and Mohammad Hossein and Rahimi Rad and Davood Mansouri and Lung Disease (nritld and Shahid Beheshti},
title = {A 43 Year-Old Woman with Fever Eleven Years after Kidney},
year = {}
}
Share
 |
 |
 |
 |
||
OpenURL
Abstract
WHAT IS YOUR DIAGNOSIS? Our patient was a 43 year-old woman referred due to fever eleven years after allograft renal transplantation. She was healthy until 4 months ago on a combination of mycophenolate mofetil (1 gr twice daily) and cyclosporine (50 mg twice daily). Preliminary evaluations for sustained fever without any concomitant symptoms in another center had revealed only diffuse ground glass opacities in both lungs on chest computed tomography (CT) scan (Figure 1). Before admission, based on positive cytomegalovirus (CMV) immunoglobulin G (IgG), mycophenolate mofetil had been discontinued due to an assumption of reactivation of CMV infection. A combination of ganciclovir plus prednisolone 10 mg daily and then valganciclovir for approximately three months resulted in fever cessation. One week after discontinuation of the aforementioned regimen, she became febrile again. A new consolidation in left lower lobe was the prominent finding (Figure 2). She rejected CT-guided biopsy; empirical amphotericin B and
