Nouza M, Chadimová M
Klinika nefrologie, Institutu klinické a experimentální medicíny, Praha.
Cas Lek Cesk. 1992 Sep 24;131(18):552-4.
The authors demonstrate on the example of two patients after transplantation of the kidney with pneumocystis pneumonia their experience with this disease. Predisposing factors include prolonged immunosuppression, protein and energy malnutrition, chronic inflammations and large doses of methylprednisolone. In the clinical picture dominated acute dyspnoea with hypoxaemia and non-productive cough. In one patient the X-ray picture was quite atypical. The prognosis of the disease is poor, both patients died.
作者以两名肾移植后发生肺孢子菌肺炎的患者为例,展示了他们对这种疾病的治疗经验。诱发因素包括长期免疫抑制、蛋白质和能量营养不良、慢性炎症以及大剂量甲基泼尼松龙。临床表现以急性呼吸困难伴低氧血症和干咳为主。其中一名患者的X线表现相当不典型。该疾病预后较差,两名患者均死亡。