HK J Paediatr (New Series)
Vol 4. No. 2,
1999
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HK J Paediatr (New Series) 1999;4:101-103
Case Report
Coexisting Pneumocystis carinii and Cytomegalovirus pneumonia in Systemic Lupus Erythematosus
ASW Ku, KW Lee, KL Wan, WKY Chan Department of Pediatrics, Queen Elizabeth Hospital, 30 Gascoigne road, Kowloon, Hong Kong ASW Ku ( 古樹榮 ) MRCP(U.K.) KW Lee ( 李國偉 ) MRCP(U.K.) KL Wan ( 尹家樑 ) MRCP(U.K.) WKY Chan ( 陳桂如 ) MRCP(U.K.) Correspondence to: Dr KW Lee Received October 28, 1998
Abstract Opportunistic infection with multiple organisms is known to occur in immunocompromised patients. In this article, we report a 14 years old girl, with 4 years history of systemic lupus erythematosus, who developed pneumonia caused by Pneumocystis carinii and cytomegalovirus. She responded to combination therapy of intravenous sulfamethoxazole-trimethoprim and ganciclovir. She shared some common risk factors in SLE for developing Pneumocystis carinii pneumonia, including active disease with renal involvement, history of receiving immunosuppressant, and lymphopenia. The author recommends the early use of bronchoalveolar lavage to investigate pneumonia in immunocompromised patients. Keyword : Pneumocystis carinii; Cytomegalovirus; Systemic lupus erythematosus Abstract in Chinese
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