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NDT Plus Advance Access published online on May 21, 2008
NDT Plus, doi:10.1093/ndtplus/sfn055
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

An unusual pulmonary complication of cytomegalovirus infection in a renal transplant recipient

Jeremy Jacques, Aymeric Dallocchio, Zara Dickson, Frederique Bocquentin, Hela Jebali, Jean-Claude Aldigier, Marie Essig and Jean-Philippe Rerolle

Department of Nephrology and Renal Transplantation, CHU Dupuytren, Limoges, France

Correspondence: Jean-Philippe Rerolle, Service de Transplantation Rénale, CHRU Dupuytren, 2 Avenue Martin Luther King, 87000 Limoges, France. Tel: +33-5-55056464; E-mail: jean-philippe.rerolle@chu-limoges.fr

Key Words: BOOP • cytomegalovirus • renal transplantation

Received for publication February 19, 2008. Accepted for publication April 22, 2008.

The first 10% of the full text of this article appears below.


   Introduction
 
Bronchiolitis obliterans organizing pneumonia (BOOP) is a clinicopathological entity occurring in the clinical setting of interstitial pneumonia [1]. Occurrence of BOOP in the post-transplant period has been well described in lung [2] or bone marrow transplantation [3] but remains rare in renal transplantation [4]. We report here, to the best of our knowledge, the first case of BOOP secondary to CMV infection in a renal transplant recipient. Intravenous (IV) ganciclovir was effective in eradicating the virus but ineffective in improving the pulmonary status of the patient. After prednisone therapy, the patient's pulmonary symptoms and radiographic findings rapidly improved.


   Case report
 
A 59-year-old woman with end-stage renal failure due to systemic lupus erythematosus was admitted to . . . [Full Text of this Article]


   Discussion
 

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