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Case Reports in Transplantation
Volume 2012, Article ID 353871, 3 pages
http://dx.doi.org/10.1155/2012/353871
Case Report

Lower Respiratory Tract Infection in a Renal Transplant Recipient: Do not Forget Metapneumovirus

1Université Paris Descartes, Sorbonne Paris Cité and Hôpital Necker-Enfants Malades, Service des Maladies Infectieuses et Tropicales, Centre d’Infectiologie Necker-Pasteur, Institut Imagine, AP-HP, 149 rue de Sèvres, 75743 Paris Cedex 15, France
2Université Paris Descartes, Sorbonne Paris Cité and Hôpital Necker-Enfants Malades, Service de Transplantation Rénale, AP-HP, 75743 Paris Cedex 15, France
3Université Paris Descartes, Sorbonne Paris Cité and Hôpital Necker-Enfants Malades, Laboratoire de Microbiologie, Unité de Virologie, AP-HP, 75743 Paris Cedex 15, France
4Groupe Microorganismes et Barrières de L'hôte, Institut Pasteur, Inserm Avenir U604, Paris, France

Received 17 September 2012; Accepted 22 October 2012

Academic Editors: C. Costa and F. Keller

Copyright © 2012 N. Noel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Human metapneumovirus (hMPV) is emerging as a cause of a severe respiratory tract infection in immunocompromised patients. hMPV pneumonia has only been seldom reported in nonpulmonary solid organ transplanted patients, such as renal transplant recipients. We report here a case of a 39-year-old patient presenting with fever, cough, and interstitial opacities on CT scan diagnosed as a nonsevere hMPV pneumonia 11 years after a renal transplantation. Infection resolved spontaneously. Differential diagnosis with Pneumocystis pneumonia was discussed. We review the medical literature and discuss clinical presentation and detection methods that can be proposed in solid organ transplant recipients.