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实体器官移植受者中的分枝杆菌感染

Mycobacterial infections in solid organ transplant recipients.

作者信息

Rashid Harun Ur, Begum Nura Afza Salma, Kashem Tasnuva Sarah

机构信息

Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh.

出版信息

Korean J Transplant. 2021 Dec 31;35(4):208-217. doi: 10.4285/kjt.21.0033.

Abstract

(MTB) infection in solid organ transplant (SOT) recipients remains a major challenge for physicians and surgeons. Active tuberculosis (TB) is associated with increased morbidity and mortality in SOT recipients. MTB usually develops after transplantation in a recipient with latent TB infection (LTBI) before transplantation and may also be transmitted from the donor or acquired from the community. Therefore, screening for LTBI in donors and recipients before transplantation is very important in preventing active disease after transplantation. This review article is based on recently published data, case series, and expert recommendations. We reviewed updated information about the epidemiology, diagnosis, and treatment of latent and active TB before and after transplantation. We also reviewed recent treatments for multidrug-resistant TB.

摘要

实体器官移植(SOT)受者中的结核分枝杆菌(MTB)感染仍然是内科医生和外科医生面临的一项重大挑战。活动性结核病(TB)与SOT受者发病率和死亡率的增加相关。MTB通常在移植后发生于移植前有潜伏性结核感染(LTBI)的受者,也可能从供体传播或从社区获得。因此,移植前对供体和受者进行LTBI筛查对于预防移植后活动性疾病非常重要。这篇综述文章基于最近发表的数据、病例系列和专家建议。我们回顾了关于移植前后潜伏性和活动性结核病的流行病学、诊断和治疗的最新信息。我们还回顾了耐多药结核病的最新治疗方法。

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Mycobacterial infections in solid organ transplant recipients.实体器官移植受者中的分枝杆菌感染。
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Mycobacterium tuberculosis in solid organ transplant donors and recipients.实体器官移植供受者中的结核分枝杆菌
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Prevention and treatment of tuberculosis in solid organ transplant recipients.实体器官移植受者的结核病预防和治疗。
Expert Rev Anti Infect Ther. 2020 Jan;18(1):63-73. doi: 10.1080/14787210.2020.1704255. Epub 2019 Dec 18.

本文引用的文献

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Tuberculous myositis and cellulitis in a renal transplant recipient.肾移植受者的结核性肌炎和蜂窝织炎。
Indian J Tuberc. 2020 Jul;67(3):353-356. doi: 10.1016/j.ijtb.2019.04.010. Epub 2019 Apr 24.

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