Chronic Mycoplasma pneumoniae infection in a child after renal transplantation.

Abstract:

:Mycoplasma pneumoniae has rarely been reported in renal transplant recipients. We present the case of a 10-yr-old boy with a six-month history of chronic cough, recurrent pyrexia, and weight loss three yr after RTx. The patient's post-transplant course was complicated by recurrence of NS that resolved with plasmapheresis and PTLD, which was successfully treated with an anti-CD20 monoclonal antibody. Chest X-ray showed a round mass-like lesion in the left upper lobe; MRT, PET, and bronchoscopy ruled out a PTLD. BAL fluid revealed M. pneumoniae-DNA. A three-wk course of macrolide therapy induced rapid recovery. We conclude that M. pneumoniae infection should be considered in immunosuppressed patients with long-lasting respiratory complaints and fever of unknown origin. Antibiotic treatment should be given for a minimum of three wk.

journal_name

Pediatr Transplant

authors

Schwerk N,Hartmann C,Baumann U,Pape L,Ehrich JH,Hansen G

doi

10.1111/j.1399-3046.2009.01130.x

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

E26-9

issue

3

eissn

1397-3142

issn

1399-3046

pii

PTR1130

journal_volume

14

pub_type

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