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肾移植术后肺炎的延迟表现：一例报告。

Late presentation of pneumonia after renal transplant: A case report.

作者信息

Prasad Prithiv, Lo Kevin Bryan, Ram Pradhum

机构信息

Albert Einstein Medical Center, Philadelphia, PA 19141, USA.

出版信息

Med Mycol Case Rep. 2018 Feb 2;20:33-34. doi: 10.1016/j.mmcr.2018.01.006. eCollection 2018 Jun.

DOI:10.1016/j.mmcr.2018.01.006
PMID:29487779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5814367/
Abstract

The highest risk of opportunistic infections is from 1 to 6 months post-transplant. We report a rare case of Pneumocystis jirovecii pneumonia in a renal transplant recipient only on maintenance immunosuppression eleven years after transplant without concomitant CMV infection or recent episodes of graft rejection.

摘要

机会性感染的最高风险出现在移植后的1至6个月。我们报告了一例罕见的肾移植受者发生耶氏肺孢子菌肺炎的病例，该患者在移植11年后仅接受维持性免疫抑制治疗，未合并巨细胞病毒感染或近期发生移植排斥反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be1e/5814367/08c6d6fdf5c3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be1e/5814367/1ae42aba8bdf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be1e/5814367/08c6d6fdf5c3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be1e/5814367/1ae42aba8bdf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be1e/5814367/08c6d6fdf5c3/gr2.jpg

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本文引用的文献

1
Late-onset Pneumocystis jirovecii pneumonia in solid organ transplant recipients.实体器官移植受者中的迟发性耶氏肺孢子菌肺炎
Transpl Infect Dis. 2014 Apr;16(2):324-8. doi: 10.1111/tid.12184. Epub 2014 Jan 24.
2
Late presentation of Pneumocystis jiroveci pneumonia after cardiac transplantation.心脏移植术后耶氏肺孢子菌肺炎的延迟表现
BMJ Case Rep. 2010 Oct 22;2010:bcr0620103111. doi: 10.1136/bcr.06.2010.3111.
3
Pneumocystis jirovecii pneumonia 13 years post renal transplant following a recurrent cytomegalovirus infection.
肾移植13年后发生耶氏肺孢子菌肺炎，此前有巨细胞病毒反复感染。
Transpl Infect Dis. 2012 Aug;14(4):E23-6. doi: 10.1111/j.1399-3062.2012.00738.x. Epub 2012 May 3.
4
Pneumocystis pneumonia in hospitalized patients: a detailed examination of symptoms, management, and outcomes in human immunodeficiency virus (HIV)-infected and HIV-uninfected persons.住院患者的肺孢子菌肺炎：对感染人类免疫缺陷病毒（HIV）和未感染HIV的患者的症状、管理及结局的详细检查
Transpl Infect Dis. 2012 Oct;14(5):510-8. doi: 10.1111/j.1399-3062.2012.00739.x. Epub 2012 May 1.
5
KDIGO clinical practice guideline for the care of kidney transplant recipients: a summary.KDIGO 临床实践指南：肾移植受者的护理概述。
Kidney Int. 2010 Feb;77(4):299-311. doi: 10.1038/ki.2009.377. Epub 2009 Oct 21.
6
Infection in solid-organ transplant recipients.实体器官移植受者的感染
N Engl J Med. 2007 Dec 20;357(25):2601-14. doi: 10.1056/NEJMra064928.
7
Should prophylaxis for Pneumocystis carinii pneumonia in solid organ transplant recipients ever be discontinued?实体器官移植受者的卡氏肺孢子虫肺炎预防措施是否应该停用？
Clin Infect Dis. 1999 Feb;28(2):240-6. doi: 10.1086/515126.
8
Rejection treatment and cytomegalovirus infection as risk factors for Pneumocystis carinii pneumonia in renal transplant recipients.排斥反应治疗和巨细胞病毒感染作为肾移植受者卡氏肺孢子虫肺炎的危险因素。
Clin Infect Dis. 1996 Jun;22(6):920-5. doi: 10.1093/clinids/22.6.920.