Orsini J, Nowakowski J, Delaney V, Sakoulas G, Wormser G P
Department of Medicine, Division of Infectious Diseases, New York Medical College and Westchester Medical Center, Valhalla, New York 10595, USA.
Transpl Infect Dis. 2009 Feb;11(1):68-71. doi: 10.1111/j.1399-3062.2008.00352.x. Epub 2008 Oct 30.
Opportunistic infections of skin and soft tissue represent a rare but serious complication following solid organ transplantation. We report a case of severe soft tissue infection caused by Cryptococcus neoformans in a renal transplant recipient. Physicians need to consider the possibility of opportunistic pathogens when managing infections in immunocompromised hosts, especially when symptoms persist despite seemingly appropriate empiric antimicrobial therapy. Tissue sampling for histological and microbiological evaluation is usually necessary to establish a diagnosis.
皮肤和软组织的机会性感染是实体器官移植后一种罕见但严重的并发症。我们报告了一例肾移植受者发生新型隐球菌引起的严重软组织感染病例。在管理免疫功能低下宿主的感染时,尤其是在看似适当的经验性抗菌治疗后症状仍持续存在时,医生需要考虑机会性病原体的可能性。通常需要进行组织采样以进行组织学和微生物学评估来确诊。