DIAGNOSIS OF DISSEMINATED CYTOMEGALOVIRUS-INFECTION AND PNEUMONITIS IN A HEART-TRANSPLANT RECIPIENT BY SKIN BIOPSY - CASE-REPORT

被引:0
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作者
REES, AP [1 ]
MEADORS, M [1 ]
VENTURA, HO [1 ]
PANKEY, GA [1 ]
机构
[1] ALTON OCHSNER MED FDN & OCHSNER CLIN,DEPT INTERNAL MED,CARDIOL SECT,1514 JEFFERSON HIGHWAY,NEW ORLEANS,LA 70121
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R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A pulmonary infection caused by both Toxoplasma gondii and cytomegalovirus (CMV) developed in a heart transplant recipient. A presumptive diagnosis of CMV pneumonitis was made on the basis of a skin biopsy finding demonstrating CMV inclusions. This diagnosis was later supported by a positive pleural fluid culture for CMV, a greater than fourfold increase in CMV IgG antibody, and a response to therapy with ganciclovir sodium. Biopsy of skin lesions in patients at risk for CMV infections may represent an important early diagnostic tool.
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页码:329 / 332
页数:4
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