Scherbaum W A, Zanker B
Medizinische Klinik und Poliklinik der Universität Ulm, Abteilung Innere Medizin I.
Immun Infekt. 1988 Feb;16(1):6-11.
Under an immunosuppressive therapy after renal transplantation there is an increased risk of acquiring infections with a possible lethal outcome. On the basis of 4 cases it is shown that invasive diagnostic procedures are indicated when the primary noninvasive methods and therapeutical trials are unsuccessful. Early and consequent therapy of severe infections must imply the reduction or cessation of immunosuppression. Conservation of the transplant at any price is not justifiable.
肾移植后接受免疫抑制治疗期间,感染风险增加,可能导致致命后果。基于4例病例表明,当主要的非侵入性方法和治疗试验未成功时,有必要进行侵入性诊断程序。对严重感染进行早期且持续的治疗必须包括减少或停止免疫抑制。不惜一切代价保留移植器官是不合理的。