Navigating the Uncharted Waters: Managing Concurrent Cytomegalovirus Myocarditis and Allograft Rejection in a patient with Heart Transplantation
Anno:
2024
A 49-year-old female with hypertrophic cardiomyopathy underwent orthotopic heart transplantation. She was cytomegalovirus(CMV)-positive and received a heart from a CMV-negative donor, so prophylaptic therapy was not administered. Initial immunosuppression included cyclosporine and induction with Basiliximab in a steroid-free regimen. The first routine biopsy (EMB) showed mild focal cellular rejection…