[Fungal infections in 100 patients subjected to heart transplantation].
OBJECTIVE
To evaluate prevalence, causes, clinical aspects, topography and deaths due to fungal infections diagnosed in a series of patients submitted to heart transplantation.


METHODS
100 consecutive patients submitted to heart transplantation were studied. Follow-up was three to 90 (mean 25.38 +/- 25.97) months. Fungal infections were diagnosed by the Centers for Disease Control criteria.


RESULTS
Forty seven fungal infections were found, with three deaths caused mainly by fungal infection. The most common infection in this series was oral infection by Candida albicans, Acremonium sp, Aspergillus sp, Candida tropicalis, Histoplasma capsulatum and Pneumocystis carinii were also responsible for infections in this patient population.


CONCLUSIONS
Fungal infections caused three deaths in this series, and were responsible for increased morbidity. The authors suggest prophylactic and therapeutic recommendations.
Uip
D E
DE
Divisão de Moléstias Infecciosas e Parasitárias e Instituto do Coração do Hospital das Clínicas-FMUSP, São Paulo.
Amato Neto
V
V
Varejão Strabelli
T M
TM
Alcides Bocchi
E
E
Fiorelli
A
A
Stolf
N
N
Bellotti
G
G
Pileggi
F
F
Jatene
A D
AD
D000293:Adolescent; D000328:Adult; D000368:Aged; D002180:Candidiasis, Oral / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D016027:Heart Transplantation / Q000401:mortality; D006801:Humans; D007165:Immunosuppression Therapy / Q000401:mortality; D008172:Lung Diseases, Fungal / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications
Infecções fúngicas em 100 pacientes submetidos a transplante cardíaco.