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Journal Information
Vol. 30. Issue 4.
Pages 222-225 (April 1994)
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Vol. 30. Issue 4.
Pages 222-225 (April 1994)
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Infección pulmonar por M. kansasii tras neumonía por citomegalovirus en paciente con trasplante renal
M. kansasii infection of the lung after cytomegalovirus pneumonía in a kidney transplant patient
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M. León1, A. de Diego
Servicio de Neumología. Hospital Universitario La Fe. Valencia
P. Sánchez*, E. Orero*
* Servicio de Nefrología. Hospital Universitario La Fe. Valencia
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Se presenta el caso de una mujer de 55 años sometida a un trasplante renal y que desarrolla una infección pulmonar por citomegalovirus (CMV) solapada con la producida por M. kansasii. Este segundo germen se manifestó de forma subclínica, y con unas lesiones radiológicas nodulares poco habituales. Se describen los procedimientos y los criterios diagnósticos utilizados para asumir el carácter patógeno de esta micobacteria atípica, en el contexto de inmunodepresión de la paciente. Se discute la responsabilidad atribuible al CMV en el desarrollo de la enfermedad. La evolución fue favorable con un tratamiento que incluyó rifampicina, ciprofloxacina, estreptomicina y etambutol.

We report the case of a 55-year-old woman who developed a lung infection by cytomegalovirus (CMV) with overlapping infection by M. kansasii after receiving a kidney transplant. The second germ infection was subclinical, with unusual nodules showing in X-rays. We describe procedures used and diagnostic criteria applied in determining the nature of this atypical mycobacteremia in an immunosuppressed patient. The outcome was good with treatment that included rifamycin, cyprofloxacin, streptomycin and ethambutol.

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Copyright © 1994. Sociedad Española de Neumología y Cirugía Torácica
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