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肾移植受者原发性巨细胞病毒感染的临床表现。

Clinical manifestations of renal allograft derived primary cytomegalovirus infection.

作者信息

Betts R F, Freeman R B, Douglas R G, Talley T E

出版信息

Am J Dis Child. 1977 Jul;131(7):759-63. doi: 10.1001/archpedi.1977.02120200041010.

DOI:10.1001/archpedi.1977.02120200041010
PMID:195462
Abstract

Seventy seven patients, thirteen younger than 20 years of age, were followed up prospectively for the first three months after renal transplant for evidence of infection and illness due to cytomegalovirus (CMV). Thirty-two developed reactivation of latent CMV and 29 did not develop any CMV infection and wn, five had pneumonia, and four underwent nephrectomy. Of these, 16, eleven received a kidney from a parent, whereas of the other 61 patients, five received parental kidneys (P less than .001). Hence, CMV seronegative individuals who received a kidney from a CMV seropositive parent developed clinical illness and sometimes lost the allograft.

摘要

77例患者(其中13例年龄小于20岁)在肾移植后的前三个月接受了前瞻性随访,以寻找巨细胞病毒(CMV)感染及相关疾病的证据。32例出现潜伏CMV再激活,29例未发生任何CMV感染,5例发生肺炎,4例行肾切除术。其中16例(11例接受来自父母的肾脏),而在其他61例患者中,5例接受父母的肾脏(P<0.001)。因此,从CMV血清学阳性的父母处接受肾脏的CMV血清学阴性个体出现了临床疾病,有时还失去了移植肾。

相似文献

1
Clinical manifestations of renal allograft derived primary cytomegalovirus infection.肾移植受者原发性巨细胞病毒感染的临床表现。
Am J Dis Child. 1977 Jul;131(7):759-63. doi: 10.1001/archpedi.1977.02120200041010.
2
Transmission of cytomegalovirus infection with renal allograft.肾移植中巨细胞病毒感染的传播
Kidney Int. 1975 Dec;8(6):385-92. doi: 10.1038/ki.1975.131.
3
Prevention of CMV infection by screening for CMV antibodies in renal allograft recipients and their blood and kidney donors.通过筛查肾移植受者及其血液和肾脏供体中的巨细胞病毒抗体来预防巨细胞病毒感染。
Scand J Infect Dis. 1988;20(2):135-9. doi: 10.3109/00365548809032429.
4
The transplanted kidney as a source of cytomegalovirus infection.移植肾作为巨细胞病毒感染的一个来源。
N Engl J Med. 1975 Nov 27;293(22):1109-12. doi: 10.1056/NEJM197511272932201.
5
Cytomegalovirus as a risk factor in living-related renal transplantation. A prospective study.巨细胞病毒作为亲属活体肾移植中的一个危险因素。一项前瞻性研究。
Ann Surg. 1987 Mar;205(3):302-4. doi: 10.1097/00000658-198703000-00014.
6
Incidence and morbidity of cytomegalovirus disease associated with a seronegative recipient receiving seropositive donor-specific transfusion and living-related donor transplantation. A multicenter evaluation.接受血清学阳性供体特异性输血和亲属活体供体移植的血清学阴性受者相关巨细胞病毒疾病的发病率和发病率。一项多中心评估。
Transplantation. 1988 Jan;45(1):111-6. doi: 10.1097/00007890-198801000-00025.
7
Cytomegalovirus disease in renal allograft recipients: a prospective study of the clinical features, risk factors and impact on renal transplantation.肾移植受者的巨细胞病毒病:一项关于临床特征、危险因素及对肾移植影响的前瞻性研究
Medicine (Baltimore). 1980 Jul;59(4):283-300.
8
Multicenter seroepidemiologic study of the impact of cytomegalovirus infection on renal transplantation.巨细胞病毒感染对肾移植影响的多中心血清流行病学研究。
Transplantation. 1985 Sep;40(3):243-9. doi: 10.1097/00007890-198509000-00004.
9
The influence of donor factors other than serologic status on transmission of cytomegalovirus to transplant recipients.
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[Serologic follow-up of cytomegalovirus, herpes simplex and varicella-zoster infections in kidney transplant recipients].[肾移植受者巨细胞病毒、单纯疱疹病毒和水痘-带状疱疹病毒感染的血清学随访]
G Batteriol Virol Immunol. 1991 Jan-Dec;84(1-12):41-52.

引用本文的文献

1
Monitoring and managing viral infections in pediatric renal transplant recipients.监测和管理儿科肾移植受者的病毒感染。
Pediatr Nephrol. 2012 May;27(5):705-17. doi: 10.1007/s00467-011-1812-2. Epub 2011 Feb 26.
2
Definition of a subset of human peripheral blood mononuclear cells that are permissive to human cytomegalovirus infection.对人巨细胞病毒感染具有易感性的人外周血单个核细胞亚群的定义。
J Virol. 1993 Jun;67(6):3166-75. doi: 10.1128/JVI.67.6.3166-3175.1993.
3
Cytomegalovirus infections in renal transplant recipients.肾移植受者的巨细胞病毒感染
Br Med J (Clin Res Ed). 1984 May 19;288(6429):1477-8. doi: 10.1136/bmj.288.6429.1477.
4
Renal graft dysfunction during infection with cytomegalovirus: association with IgM lymphocytotoxins and HLA-DR3 and DR7.巨细胞病毒感染期间的肾移植功能障碍:与IgM淋巴细胞毒素及HLA - DR3和DR7的关联
Br Med J (Clin Res Ed). 1983 Nov 5;287(6402):1332-4. doi: 10.1136/bmj.287.6402.1332.
5
Increased IgM and IgM immune complex-like material in the circulation of renal transplant recipients with primary cytomegalovirus infections.原发性巨细胞病毒感染的肾移植受者循环中IgM及IgM免疫复合物样物质增加。
Clin Exp Immunol. 1982 Dec;50(3):515-24.
6
A prospective study of cytomegalovirus and herpes simplex virus disease in renal transplant recipients.肾移植受者巨细胞病毒和单纯疱疹病毒疾病的前瞻性研究。
J Clin Pathol. 1982 Nov;35(11):1190-3. doi: 10.1136/jcp.35.11.1190.
7
Detection of virus-specific IgA antibodies in serum of kidney transplant patients with recurrent cytomegalovirus infection by enzymeimmuno and radioimmunoassay techniques.采用酶免疫和放射免疫测定技术检测复发性巨细胞病毒感染的肾移植患者血清中病毒特异性IgA抗体。
Clin Exp Immunol. 1982 May;48(2):321-8.
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Cytomegalovirus-specific cytotoxicity mediated by non-T lymphocytes from peripheral blood of normal volunteers.正常志愿者外周血非T淋巴细胞介导的巨细胞病毒特异性细胞毒性
Infect Immun. 1981 Nov;34(2):441-7. doi: 10.1128/iai.34.2.441-447.1981.
9
Polypeptides and major antigens of four new isolates of cytomegalovirus.四种巨细胞病毒新分离株的多肽和主要抗原
Med Microbiol Immunol. 1981;169(3):197-208. doi: 10.1007/BF02123593.
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Evaluation of a radioimmunoassay for IgM-class antibodies against cytomegalovirus.针对巨细胞病毒的IgM类抗体的放射免疫测定评估。
Br J Exp Pathol. 1980 Oct;61(5):512-20.