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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 50-Year-Old Woman With Abdominal Pain and Respiratory Failure 3 Months After Kidney Transplantation*

Matthew R. Morrell, MD; John Dallas, MD; Marin H. Kollef, MD, FCCP
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*From the Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Barnes-Jewish Hospital/Washington University, St. Louis, MO.

Correspondence to: Matthew R. Morrell, MD, Division of Pulmonary and Critical Care Medicine, 660 South Euclid Ave, Box 8052, St. Louis, MO 63110; e-mail: mmorrell@im.wustl.edu



Chest. 2008;134(2):442-446. doi:10.1378/chest.07-2754
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A 50-year-old woman was hospitalized with a 2-week history of nausea, vomiting, diarrhea, epigastric abdominal pain, hematuria, and a skin rash. Prior to hospitalization, the patient was administered ciprofloxacin for a urinary tract infection and, subsequently, metronidazole for presumed Clostridium dificile colitis. The patient recently returned from a camping trip to southwestern Missouri. Her medical history was significant for a cadaveric renal transplant approximately 3 months prior for end-stage renal disease secondary to adult polycystic kidney disease. Her immunosuppressive regimen consisted of prednisone, tacrolimus, and mycophenolate mofetil.

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