Mycobacterium avium Complex Inclusions Mimicking Gaucher's Cells
To the Editor: A 37-year-old man with insulin-dependent diabetes mellitus complicated by end-stage renal disease who had received a second cadaveric kidney transplant four years earlier presented with symptomatic splenomegaly, progressive anemia, prolonged fever, dysphagia, and weight loss. Owing to...
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Veröffentlicht in: | The New England journal of medicine 1999-04, Vol.340 (17), p.1372-1372 |
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creator | Argiris, Athanassios Maun, Noel Berliner, Nancy |
description | To the Editor:
A 37-year-old man with insulin-dependent diabetes mellitus complicated by end-stage renal disease who had received a second cadaveric kidney transplant four years earlier presented with symptomatic splenomegaly, progressive anemia, prolonged fever, dysphagia, and weight loss. Owing to chronic rejection of his kidney transplant, he required intensive immunosuppressive therapy consisting of tacrolimus, mycophenolate mofetil, and prednisone. The first kidney transplant, as well as a pancreatic transplant, had been lost because of acute rejection, seven and three years previously, respectively.
Abdominal computed tomography performed on admission revealed splenomegaly with a subcapsular hematoma. Analysis of a bone marrow aspirate revealed . . . |
doi_str_mv | 10.1056/NEJM199904293401719 |
format | Article |
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A 37-year-old man with insulin-dependent diabetes mellitus complicated by end-stage renal disease who had received a second cadaveric kidney transplant four years earlier presented with symptomatic splenomegaly, progressive anemia, prolonged fever, dysphagia, and weight loss. Owing to chronic rejection of his kidney transplant, he required intensive immunosuppressive therapy consisting of tacrolimus, mycophenolate mofetil, and prednisone. The first kidney transplant, as well as a pancreatic transplant, had been lost because of acute rejection, seven and three years previously, respectively.
Abdominal computed tomography performed on admission revealed splenomegaly with a subcapsular hematoma. Analysis of a bone marrow aspirate revealed . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM199904293401719</identifier><identifier>PMID: 10223882</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Adult ; Bone Marrow - microbiology ; Bone Marrow - pathology ; Diabetes Mellitus, Type 1 - complications ; Diagnosis, Differential ; Fatal Outcome ; Gaucher Disease - pathology ; Graft Rejection ; Humans ; Kidney Failure, Chronic - etiology ; Kidney Failure, Chronic - surgery ; Kidney Transplantation ; Male ; Mycobacterium avium Complex - isolation & purification ; Mycobacterium avium-intracellulare Infection - diagnosis</subject><ispartof>The New England journal of medicine, 1999-04, Vol.340 (17), p.1372-1372</ispartof><rights>Copyright © 1999 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-45fdb224bedf891c69510830315e5e705447bc1f140595dfc4e3ad3033739bd73</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM199904293401719$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJM199904293401719$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,776,780,2746,2747,26080,27901,27902,52357,54039</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10223882$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Argiris, Athanassios</creatorcontrib><creatorcontrib>Maun, Noel</creatorcontrib><creatorcontrib>Berliner, Nancy</creatorcontrib><title>Mycobacterium avium Complex Inclusions Mimicking Gaucher's Cells</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>To the Editor:
A 37-year-old man with insulin-dependent diabetes mellitus complicated by end-stage renal disease who had received a second cadaveric kidney transplant four years earlier presented with symptomatic splenomegaly, progressive anemia, prolonged fever, dysphagia, and weight loss. Owing to chronic rejection of his kidney transplant, he required intensive immunosuppressive therapy consisting of tacrolimus, mycophenolate mofetil, and prednisone. The first kidney transplant, as well as a pancreatic transplant, had been lost because of acute rejection, seven and three years previously, respectively.
Abdominal computed tomography performed on admission revealed splenomegaly with a subcapsular hematoma. Analysis of a bone marrow aspirate revealed . . .</description><subject>Adult</subject><subject>Bone Marrow - microbiology</subject><subject>Bone Marrow - pathology</subject><subject>Diabetes Mellitus, Type 1 - complications</subject><subject>Diagnosis, Differential</subject><subject>Fatal Outcome</subject><subject>Gaucher Disease - pathology</subject><subject>Graft Rejection</subject><subject>Humans</subject><subject>Kidney Failure, Chronic - etiology</subject><subject>Kidney Failure, Chronic - surgery</subject><subject>Kidney Transplantation</subject><subject>Male</subject><subject>Mycobacterium avium Complex - isolation & purification</subject><subject>Mycobacterium avium-intracellulare Infection - diagnosis</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kD9PwzAQxS0EoqXwCZBQxMKAAud_dbxRRaUUtbDAbCWOAylxUuwG0W-Pq3RgQNxwN9zvvdM9hM4x3GDg49un6eMSSymBEUkZYIHlARpiTmnMGIwP0RCAJDETkg7QifcrCIWZPEYDDITQJCFDdLfc6jbP9Ma4qrNR9rXraWvXtfmO5o2uO1-1jY-Wla30R9W8RbOs0-_GXfkoNXXtT9FRmdXenO3nCL3eT1_Sh3jxPJunk0WsqSCbmPGyyAlhuSnKRGI9lhxDQoFibrgRwBkTucYlZsAlL0rNDM2KsKeCyrwQdIQue9-1az874zdq1XauCSdV-EUySAgNEO0h7VrvnSnV2lU2c1uFQe1CU3-EFlQXe-sut6b4pelTCsB1D1jrVWNW9l-7H3CxcfM</recordid><startdate>19990429</startdate><enddate>19990429</enddate><creator>Argiris, Athanassios</creator><creator>Maun, Noel</creator><creator>Berliner, Nancy</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>19990429</creationdate><title>Mycobacterium avium Complex Inclusions Mimicking Gaucher's Cells</title><author>Argiris, Athanassios ; Maun, Noel ; Berliner, Nancy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-45fdb224bedf891c69510830315e5e705447bc1f140595dfc4e3ad3033739bd73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Bone Marrow - microbiology</topic><topic>Bone Marrow - pathology</topic><topic>Diabetes Mellitus, Type 1 - complications</topic><topic>Diagnosis, Differential</topic><topic>Fatal Outcome</topic><topic>Gaucher Disease - pathology</topic><topic>Graft Rejection</topic><topic>Humans</topic><topic>Kidney Failure, Chronic - etiology</topic><topic>Kidney Failure, Chronic - surgery</topic><topic>Kidney Transplantation</topic><topic>Male</topic><topic>Mycobacterium avium Complex - isolation & purification</topic><topic>Mycobacterium avium-intracellulare Infection - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Argiris, Athanassios</creatorcontrib><creatorcontrib>Maun, Noel</creatorcontrib><creatorcontrib>Berliner, Nancy</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Argiris, Athanassios</au><au>Maun, Noel</au><au>Berliner, Nancy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mycobacterium avium Complex Inclusions Mimicking Gaucher's Cells</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>1999-04-29</date><risdate>1999</risdate><volume>340</volume><issue>17</issue><spage>1372</spage><epage>1372</epage><pages>1372-1372</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><coden>NEJMAG</coden><abstract>To the Editor:
A 37-year-old man with insulin-dependent diabetes mellitus complicated by end-stage renal disease who had received a second cadaveric kidney transplant four years earlier presented with symptomatic splenomegaly, progressive anemia, prolonged fever, dysphagia, and weight loss. Owing to chronic rejection of his kidney transplant, he required intensive immunosuppressive therapy consisting of tacrolimus, mycophenolate mofetil, and prednisone. The first kidney transplant, as well as a pancreatic transplant, had been lost because of acute rejection, seven and three years previously, respectively.
Abdominal computed tomography performed on admission revealed splenomegaly with a subcapsular hematoma. Analysis of a bone marrow aspirate revealed . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>10223882</pmid><doi>10.1056/NEJM199904293401719</doi><tpages>1</tpages></addata></record> |
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subjects | Adult Bone Marrow - microbiology Bone Marrow - pathology Diabetes Mellitus, Type 1 - complications Diagnosis, Differential Fatal Outcome Gaucher Disease - pathology Graft Rejection Humans Kidney Failure, Chronic - etiology Kidney Failure, Chronic - surgery Kidney Transplantation Male Mycobacterium avium Complex - isolation & purification Mycobacterium avium-intracellulare Infection - diagnosis |
title | Mycobacterium avium Complex Inclusions Mimicking Gaucher's Cells |
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