| A Case of Concurrent Pneumocystis carinii Pneumonia and CMV Pneumonia in a SLE Patient with Mycophenolate Mofetil |
| Eun Hee Jang, M.D. and Min Ok Kim, M.D. |
Department of Internal Medicine1
School of Medicine, Jeju National University, Jeju, Korea Department of Internal Medicine2
School of Medicine, Eul-ji University Hospital, Daejeon, Korea |
| 증례 : Mycophenolate mofetil 치료 중인 전신성 홍반성 루푸스 환자에서 동시에 발생한 주자폐포충 폐렴 및 거대세포 바이러스 폐렴 1예 |
| 장은희1, 김민옥2 |
| 제주대학교 의과대학 내과1, 을지대학교 의과대학 내과2 |
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| Abstract |
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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-ulfamethoxazole,prednisolone, gancyclovir for three weeks. |
| Key Words:
Systemic lupus erythematosus, Lupus nephritis, Mycophenolate mofetil, Pneumocystis carinii, Cytomega |
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