A Case of Concurrent Pneumocystis carinii Pneumonia and CMV Pneumonia in a SLE Patient with Mycophenolate Mofetil.
- Author:
Eun Hee JANG
1
;
Min Ok KIM
Author Information
1. Department of Internal Medicine, School of Medicine, Jeju National University, Jeju, Korea. lovemd@hanmail.net
- Publication Type:Case Report
- Keywords:
Systemic lupus erythematosus;
Lupus nephritis;
Mycophenolate mofetil;
Pneumocystis carinii;
Cytomegalovirus
- MeSH:
Adult;
Anoxia;
Bronchoalveolar Lavage Fluid;
Cytomegalovirus;
Dyspnea;
Female;
Ganciclovir;
Glass;
Humans;
Lupus Erythematosus, Systemic;
Lupus Nephritis;
Mycophenolic Acid;
Pneumocystis;
Pneumocystis carinii;
Pneumonia;
Pneumonia, Pneumocystis;
Polymerase Chain Reaction;
Prednisolone;
Thorax;
Trimethoprim, Sulfamethoxazole Drug Combination;
Viruses
- From:Korean Journal of Nephrology
2008;27(4):502-507
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 36-year-old woman developed concurrent Pneumocystis carinii pneumonia (PCP) and cytomegalovirus (CMV) pneumonia. She was diagnosed as lupus nephritis two years ago and was on immunosuppressive therapy with prednisolone and mycophenolate mofetil. She developed dyspnea with moderate hypoxemia. Chest X-ray and HRCT showed diffuse interstitial infiltration and ground glass opacity. The diagnosis of concurrent PCP and CMV was performed by the virus culture and PCP PCR of bronchoalveolar lavage fluid. She recovered following treatment with trimethoprim-sulfamethoxazole, prednisolone, gancyclovir for three weeks.
