title: Triple opportunistic pulmonary cavitary disease after cord blood transplantation.
abstract: Opportunistic infectious diseases in patients are variable and depend on the host as well as the type of immunosuppression. Cord blood transplant recipients appear to be particularly vulnerable to infectious complications. Sequential or concurrent opportunistic infectious diseases can be particularly difficult to manage and have increased mortality. We present a young patient, status post cord blood transplantation for acute myelogenous leukemia, who developed a large pulmonary mass-like infection with Aspergillus, cytomegalovirus, and Mycobacterium avium complex. Radiological, surgical, and pathological features are described.
authors.affiliation: Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.
authors.forename: T
authors.initials: T
authors.lastname: Kaneko
authors.forename: D A
authors.initials: DA
authors.lastname: Milner
authors.forename: F M
authors.initials: FM
authors.lastname: Marty
authors.forename: Y L
authors.initials: YL
authors.lastname: Colson
mesh_terms: D000328:Adult; D060085:Coinfection; D003586:Cytomegalovirus Infections / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D017809:Fatal Outcome; D005260:Female; D005312:Fetal Blood / Q000637:transplantation*; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000628:therapy; D015270:Mycobacterium avium-intracellulare Infection / Q000150:complications / Q000000981:diagnostic imaging*; D009894:Opportunistic Infections / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology*; D055732:Pulmonary Aspergillosis / Q000150:complications / Q000473:pathology*; D011656:Pulmonary Emphysema / Q000000981:diagnostic imaging / Q000382:microbiology; D011859:Radiography
keywords: Aspergillus; cord blood transplant; cytomegalovirus; mycobacterium