{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T09:47:58Z","timestamp":1761126478304,"version":"3.32.0"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2005,11,22]],"date-time":"2005-11-22T00:00:00Z","timestamp":1132617600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nephrology"],"published-print":{"date-parts":[[2005,12]]},"abstract":"<jats:p><jats:bold>SUMMARY:\u2003<\/jats:bold>Cytomegalovirus (CMV) disease is common in postrenal transplant recipients, and may predispose the patients to secondary bacterial or fungal infections. However, simultaneous coinfection is rare and often makes diagnosis difficult. We report a case of CMV pneumonitis in a renal transplant recipient presenting with elevated CMV<jats:italic>pp<\/jats:italic>65 antigen level and abnormal chest radiograph. Despite potent and broad\u2010spectrum antimicrobial therapy, his condition deteriorated rapidly \u2013 he soon went into respiratory failure, septic shock and died several days later. Transbronchial biopsy and bronchoalveolar lavage obtained before the patient's death showed evidence of invasive pulmonary aspergillosis with concomitant CMV pneumonitis. High index of suspicion and early and empirical initiation of antifungal therapy may be necessary for successful management of fulminant pneumonia in solid organ transplant recipients.<\/jats:p>","DOI":"10.1111\/j.1440-1797.2005.00459.x","type":"journal-article","created":{"date-parts":[[2005,11,22]],"date-time":"2005-11-22T08:12:10Z","timestamp":1132647130000},"page":"619-622","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Fatal case of<i>Aspergillus<\/i>coinfection in a renal transplant recipient suffering from cytomegalovirus pneumonitis (Case Report)"],"prefix":"10.1111","volume":"10","author":[{"given":"YUI\u2010PONG","family":"SIU","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"KAY\u2010TAI","family":"LEUNG","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MATTHEW KA\u2010HANG","family":"TONG","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"YUK\u2010LUNG","family":"KWOK","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PIK\u2010KEI","family":"WONG","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"TZE\u2010HOI","family":"KWAN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,11,22]]},"reference":[{"key":"e_1_2_4_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/00365540110077470"},{"issue":"3","key":"e_1_2_4_3_2","first-page":"16","article-title":"Fever and cavitary infiltrate in a renal transplant recipient","volume":"24","author":"Rocamora N","year":"2004","journal-title":"Nefrologia"},{"key":"e_1_2_4_4_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1068032"},{"key":"e_1_2_4_5_2","doi-asserted-by":"publisher","DOI":"10.1067\/mjd.2001.107776"},{"key":"e_1_2_4_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006982-198808030-00009"},{"key":"e_1_2_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0934-8840(98)80190-4"},{"key":"e_1_2_4_8_2","first-page":"418","article-title":"Fatal cytomegalovirus pneumonia after preemptive antiviral therapy in a renal transplant recipient","volume":"54","author":"Ketteler M","year":"2000","journal-title":"Clin. 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