Abstract | BACKGROUND:
Infection remains the most common complication following renal transplantation (RT). Cytomegalovirus (CMV) is one of the most important pathogens in this patient population and Clostridium difficile-associated colitis ( CDAC) has emerged as one of the most frequent gastrointestinal complications. Only few cases of simultaneous CMV enterocolitis and CDAC have been reported. CASE REPORT: CONCLUSIONS: Late-onset CMV disease in this patient who was CMV negative prior to transplantation and received a CMV-negative graft was an unexpected event; the simultaneous occurrence of CDAC aggravated the clinical picture ultimately leading to surgery, graft failure and death. Clinicians should be aware that opportunistic infections may develop many years post transplant and may occur simultaneously.
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Authors | Mohamed Dahman, Robert Krell, Kenneth Brayman, Robert G Sawyer, Helen P Cathro, Klaus D Hagspiel, Costi D Sifri, Hugo J R Bonatti |
Journal | Annals of transplantation
(Ann Transplant)
2010 Oct-Dec
Vol. 15
Issue 4
Pg. 72-6
ISSN: 2329-0358 [Electronic] United States |
PMID | 21183880
(Publication Type: Case Reports, Journal Article)
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Topics |
- Aged
- Clostridioides difficile
(isolation & purification)
- Colitis
(complications, microbiology)
- Cytomegalovirus Infections
(complications)
- Fatal Outcome
- Female
- Humans
- Intestinal Diseases
(microbiology)
- Kidney Transplantation
(adverse effects)
- Time Factors
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