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Titolo:
Successful treatment of massive lower gastrointestinal bleeding caused by mixed infection of cytomegalovirus and mucormycosis in a renal transplant recipient
Autore:
Ju, JH; Park, HS; Shin, MJ; Yang, CW; Kim, YS; Choi, YJ; Song, HJ; Kim, SW; Chung, IS; Bang, BK;
Indirizzi:
Catholic Univ Korea, Dept Internal Med, Kangnam St Marys Hosp, Seoul 137040, South Korea Catholic Univ Korea Seoul South Korea 137040 , Seoul 137040, South Korea Catholic Univ Korea, Dept Clin Pathol, Kangnam St Marys Hosp, Seoul 137040, South Korea Catholic Univ Korea Seoul South Korea 137040 , Seoul 137040, South Korea
Titolo Testata:
AMERICAN JOURNAL OF NEPHROLOGY
fascicolo: 3, volume: 21, anno: 2001,
pagine: 232 - 236
SICI:
0250-8095(200105/06)21:3<232:STOMLG>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
KIDNEY-TRANSPLANT; PATIENT;
Keywords:
kidney transplantation; mucormycosis; cytomegalovirus; gastrointestinal bleeding;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
7
Recensione:
Indirizzi per estratti:
Indirizzo: Bang, BK Catholic Univ Korea, Dept Internal Med, Kangnam St Marys Hosp, 505 Banpo Dong, Seoul 137040, South Korea Catholic Univ Korea 505 Banpo Dong Seoul South Korea 137040 orea
Citazione:
J.H. Ju et al., "Successful treatment of massive lower gastrointestinal bleeding caused by mixed infection of cytomegalovirus and mucormycosis in a renal transplant recipient", AM J NEPHR, 21(3), 2001, pp. 232-236

Abstract

We describe a case of lower gastrointestinal bleeding due to mixed infection of cytomegalovirus (CMV) and mucormycosis in a renal transplant recipient. A 33-year-old male received renal transplantation and his clinical course was uneventful, On the 18th postoperative day, acute rejection was developed and this was treated with high-dose methylprednisolone and OKT3, Duringantirejection treatment, sudden onset massive hematochezia was developed, Emergency colonofibroscopy revealed multiple colonic ulcers and pathologic findings were consistent with mucormycosis and CMV infection. The patient was successfully treated with amphotericin B (1.0-1.5 mg/kg) and ganciclovir(62.5-125 mg/day) for 5 weeks, To our knowledge, this is the first report showing coexistence of mucormycosis and CMV in the colon ulcer base, This finding suggests that CMV infection may trigger fungal infection in the pathogenesis of colonic ulcer, Copyright (C) 2001 S. Karger AG, Basel.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/10/20 alle ore 01:59:57