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肾移植导致的结核病传播

Transmission of tuberculosis by kidney transplantation.

作者信息

Peters T G, Reiter C G, Boswell R L

出版信息

Transplantation. 1984 Nov;38(5):514-6. doi: 10.1097/00007890-198411000-00015.

DOI:10.1097/00007890-198411000-00015
PMID:6388074
Abstract

Tuberculosis occurred in two patients, each of whom received a kidney from the same cadaver donor whose cerebrospinal fluid cultures grew Mycobacteria following organ donation. Although the degree of immunosuppression and graft function were similar in the recipients, one died of disseminated tuberculosis. Kidneys contaminated with certain pathogens, including Mycobacteria, should not be transplanted. Transplant recipients with tuberculosis require prompt antituberculous therapy, and may require transplant nephrectomy for persistent evidence of urinary tract tuberculosis.

摘要

两名患者发生了结核病,他们每人都接受了来自同一尸体供者的肾脏,该供者在器官捐献后脑脊液培养出分枝杆菌。尽管接受者的免疫抑制程度和移植物功能相似,但其中一人死于播散性结核病。被包括分枝杆菌在内的某些病原体污染的肾脏不应进行移植。患有结核病的移植受者需要及时进行抗结核治疗,对于持续存在泌尿系统结核证据的患者可能需要进行移植肾切除术。

相似文献

1
Transmission of tuberculosis by kidney transplantation.肾移植导致的结核病传播
Transplantation. 1984 Nov;38(5):514-6. doi: 10.1097/00007890-198411000-00015.
2
Transmission of Mycobacterium tuberculosis with renal allografts.
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Mycobacterial infections in renal transplant recipients: report of five cases and review of the literature.
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The UNOS renal transplant registry.美国器官共享联合网络肾脏移植登记处。
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Risk factors for renal allograft survival from pediatric cadaver donors: an analysis of united network for organ sharing data.小儿尸体供体肾移植存活的危险因素:器官共享联合网络数据的分析
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引用本文的文献

1
Infectious Disease Transmission in Solid Organ Transplantation: Donor Evaluation, Recipient Risk, and Outcomes of Transmission.实体器官移植中的传染病传播:供体评估、受体风险及传播结果
Transplant Direct. 2018 Dec 20;5(1):e416. doi: 10.1097/TXD.0000000000000852. eCollection 2019 Jan.
2
The risk of tuberculosis transmission in solid organ transplantation: Is it more than a theoretical concern?实体器官移植中的结核病传播风险:这不仅仅是理论上的担忧吗?
Can J Infect Dis Med Microbiol. 2005 Sep;16(5):304-8. doi: 10.1155/2005/287460.
3
Screening of donor and recipient prior to solid organ transplantation.
实体器官移植前供体和受体的筛查。
Am J Transplant. 2004 Nov;4 Suppl 10(Suppl 10):10-20. doi: 10.1111/j.1600-6135.2004.00616.x.
4
Mycobacterial infection after liver transplantation.
Langenbecks Arch Chir. 1995;380(3):171-5. doi: 10.1007/BF00207725.