In this medical tale, a serious chronic condition may have offered protection against
an additional life-threatening disease. A 49-year-old white male, who had undergone
a cadaveric renal transplantation 4 months earlier, presented to the emergency department
with a 3-day history of subjective fever, nausea, vomiting, and diarrhea. He also
reported worsening shortness of breath and a dry cough, both of which began 1 day
earlier. His post-transplantation period was uneventful, except for a Pseudomonas species skin infection 2 weeks prior to this presentation. The patient’s immunosuppressive
regimen consisted of prednisone, 10 mg/day and tacrolimus, 5mg/day.
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Article info
Footnotes
Charles M. Wiener, MD, Section Editor
Identification
Copyright
© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
