title: [Cytomegalovirus-associated superinfection of the lung following kidney transplantation].
abstract: In a kidney-transplant patient, there was superinfection of the lungs by Klebsiella pneumoniae and Legionella pneumophilia with multiple necroses in the course of a primary cytomegalovirus infection. In a later phase of the disease, there was an opportunistic colonization of the necrotic cavities and the adjacent lung tissue by Aspergillus fumigatus and Candida albicans. The cytomegalovirus infection led to a pronounced cellular immunosuppression in the patient. This favored superinfections by bacteria and fungi. A poor nutritional state and a chronic lung disease are to be considered as predisposing risk factors.
mesh_terms: D000328:Adult; D001228:Aspergillosis / Q000150:complications; D002177:Candidiasis / Q000150:complications; D003586:Cytomegalovirus Infections / Q000150:complications*; D006801:Humans; D007153:Immunologic Deficiency Syndromes / Q000150:complications; D016030:Kidney Transplantation; D007710:Klebsiella Infections / Q000150:complications*; D007711:Klebsiella pneumoniae; D007877:Legionnaires' Disease / Q000150:complications*; D008168:Lung / Q000473:pathology; D008172:Lung Diseases, Fungal / Q000150:complications; D008297:Male; D009894:Opportunistic Infections / Q000473:pathology; D011014:Pneumonia / Q000150:complications*
vernacular_title: Cytomegalievirus-assoziierte Superinfektionen der Lunge nach Nierentransplantation.