title: Synchronous tuberculosis, Epstein-Barr virus-associated lymphoproliferative disorder and cytomegalovirus infection in an allogeneic transplant recipient: a case report.
abstract: BACKGROUND
  Allogeneic stem cell transplant recipients are prone to infections by various organisms. Tuberculosis (TB) represents a rare infectious complication, especially in countries non-endemic for TB.
  
  
  METHODS
  Here, we report the case of a German patient with exposure to TB decades before he was diagnosed with disseminated TB as well as synchronous Epstein-Barr virus associated lymphoproliferative disorder and cytomegalovirus infection after allogeneic stem cell transplantation for refractory acute myeloid leukemia. Tuberculostatic and virostatic therapy was administered and the patient could be discharged with no apparent signs of infection two weeks after initiation of therapy.
  
  
  CONCLUSIONS
  This case illustrates the need for awareness of mycobacterial infections in patients from non-endemic regions undergoing stem cell transplantation even if other reasons for fever are present.
authors.affiliation: Department of Hematology, Oncology and Tumor Immunology, Charité University Medicine, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Benjamin Nils
authors.initials: BN
authors.lastname: Ostendorf
authors.affiliation: Department of Hematology, Oncology and Tumor Immunology, Charité University Medicine, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Christian Friedrich
authors.initials: CF
authors.lastname: Jehn
authors.affiliation: Department of Hematology, Oncology and Tumor Immunology, Charité University Medicine, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Lam Giang
authors.initials: LG
authors.lastname: Vuong
authors.affiliation: Department of Hematology, Oncology and Tumor Immunology, Charité University Medicine, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Hendrik
authors.initials: H
authors.lastname: Nogai
authors.affiliation: Department of Hematology, Oncology and Tumor Immunology, Charité University Medicine, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Philipp Guido
authors.initials: PG
authors.lastname: Hemmati
authors.affiliation: Department of Radiology, Charité University Medicine, Berlin, Germany.
authors.forename: Bernhard
authors.initials: B
authors.lastname: Gebauer
authors.affiliation: Department of Hematology, Oncology and Tumor Immunology, Charité University Medicine, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Olaf
authors.initials: O
authors.lastname: Penack
authors.affiliation: Department of Hematology, Oncology and Tumor Immunology, Charité University Medicine, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Igor Wolfgang
authors.initials: IW
authors.lastname: Blau
authors.affiliation: Institute of Pathology, Charité University Medicine, Berlin, Germany.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Anagnostopoulos
authors.affiliation: Department of Hematology, Oncology and Tumor Immunology, Charité University Medicine, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Renate
authors.initials: R
authors.lastname: Arnold
keywords: Allogeneic stem cell transplantation; Cytomegalovirus; Epstein-Barr virus; Post-transplant lymphoproliferative disorder; Tuberculosis