Selected article for: "acute rejection and Epstein Barr virus"
Author: Omar, Ashraf; Patil, Pradnya D.; Hoshi, Sami; Huang, Jasmine; Collum, Earle; Panchabhai, Tanmay S.
Title: A 68-Year-Old Lung Transplant Recipient With Shortness of Breath, Weight Loss, and Abnormal Chest CT
  • Cord-id: 94cj3pfp
  • Document date: 2018_6_5
    • ID: 94cj3pfp
    Snippet: A 68-year-old man presented to our ED with shortness of breath, weakness, and a 25-lb unintentional weight loss. He had undergone bilateral lung transplantation (cytomegalovirus [CMV]: donor+, recipient+; Epstein-Barr virus: donor+; recipient+) for idiopathic pulmonary fibrosis (IPF) 18 months prior. His posttransplant course was fairly unremarkable until 1 month earlier, when he was admitted for breathlessness and weakness. CT of the chest during that admission revealed mild intralobular and in
    Document: A 68-year-old man presented to our ED with shortness of breath, weakness, and a 25-lb unintentional weight loss. He had undergone bilateral lung transplantation (cytomegalovirus [CMV]: donor+, recipient+; Epstein-Barr virus: donor+; recipient+) for idiopathic pulmonary fibrosis (IPF) 18 months prior. His posttransplant course was fairly unremarkable until 1 month earlier, when he was admitted for breathlessness and weakness. CT of the chest during that admission revealed mild intralobular and interlobular septal thickening. A bronchoscopy with BAL and transbronchial biopsies did not show acute cellular rejection, but the BAL fluid was positive for coronavirus. His cortisol level was undetectable; he was diagnosed with adrenal insufficiency and fludrocortisone was initiated. He was taking prednisone, tacrolimus, and everolimus for immunosuppression and valganciclovir, itraconazole, and trimethoprim-sulfamethoxazole for antimicrobial prophylaxis. His 25-lb weight loss occurred over the span of just one month.

    Search related documents:
    Co phrase search for related documents
    • acute cellular rejection and lung disease: 1, 2
    • acute cellular rejection and lung transplant: 1, 2, 3, 4, 5, 6, 7, 8
    • acute cellular rejection and lung transplant recipient: 1
    • admission chest ct and lung biopsy: 1, 2, 3, 4
    • admission chest ct and lung disease: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13
    • admission chest ct and lung transplant: 1
    • admission chest ct and lung transplant recipient: 1
    • adrenal insufficiency and lung cancer: 1