신이식 후 거대세포바이러스 감염을 동반한 감염성 심내막염 1예
A Case of Infective Endocarditis with Cytomegalovirus Infection after Kidney Transplantation
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초록
Advances in immunosuppressive therapy have increased the survival of kidney transplant recipients, yet suppression of the immunesystem after transplantation can promote infectious complications. Cytomegalovirus (CMV) infection remains one of themost important complications following kidney transplantation and it is a risk factor for developing superinfections with otherorganisms. Aspergillus endocarditis is a rare life‐threatening complication in kidney transplantation. Coinfection of CMV andAspergillus endocarditis is rare worldwide and has not been reported in Korea. We report a case of Aspergillus endocarditis that developedin a patient with CMV infection after kidney transplantation. His clinical condition did not improve despite mitral valve replacementand empirical antibiotic treatment, but he was eventually treated successfully with antifungal agents for 6 weeks.
Abstract
Advances in immunosuppressive therapy have increased the survival of kidney transplant recipients, yet suppression of the immunesystem after transplantation can promote infectious complications. Cytomegalovirus (CMV) infection remains one of themost important complications following kidney transplantation and it is a risk factor for developing superinfections with otherorganisms. Aspergillus endocarditis is a rare life‐threatening complication in kidney transplantation. Coinfection of CMV andAspergillus endocarditis is rare worldwide and has not been reported in Korea. We report a case of Aspergillus endocarditis that developedin a patient with CMV infection after kidney transplantation. His clinical condition did not improve despite mitral valve replacementand empirical antibiotic treatment, but he was eventually treated successfully with antifungal agents for 6 weeks.
참고문헌 (10)
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