Korean J Nephrol.  2008 Jul;27(4):502-507.

A Case of Concurrent Pneumocystis carinii Pneumonia and CMV Pneumonia in a SLE Patient with Mycophenolate Mofetil

Affiliations
  • 1Department of Internal Medicine, School of Medicine, Jeju National University, Jeju, Korea. lovemd@hanmail.net
  • 2Department of Internal Medicine, School of Medicine, Eul-ji University Hospital, Daejeon, Korea.

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.

Keyword

Systemic lupus erythematosus; Lupus nephritis; Mycophenolate mofetil; Pneumocystis carinii; Cytomegalovirus

MeSH Terms

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
Ganciclovir
Mycophenolic Acid
Prednisolone
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