Late onset opportunistic infections in a renal allograft recipient: a case report.
In renal allograft recipients, infection disease complications remain an important cause of morbidity and mortality during the post-transplant period. This complication occurs more frequently from 1 to 6 months after transplant. The epidemiology of infection during the postoperative period is less well characterized, because recipients routinely reside at home. We describe a case of late onset Candida albicans and HSV-1 esophagitis, and Pneumocystis carinii pneumonia, that occurs 9 years after renal transplantation in a patient with severe CD4+ T-lymphocytopenia and hypogammaglobulinaemia. We underline the importance of monitoring immunosuppressive therapy in these patients and the usefulness of prophylaxis against P. carinii pneumonia
Clinica di Malattie Infettive, Dipartimento di Medicina Sperimentale e Scienze Biochimiche, Universita degli Studi di Perugia, Italy.
Sabrina
S
Morosi
Giuseppe Vittorio Luigi
GV
De Socio
Maurizio
M
Fiorio
Giuliano
G
Stagni
D000361:Agammaglobulinemia / Q000209:etiology; D000368:Aged; D016470:Bacteremia / Q000382:microbiology*; D018791:CD4 Lymphocyte Count; D017809:Fatal Outcome; D015432:Glomerulonephritis, Membranoproliferative / Q000601:surgery; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000009:adverse effects / Q000627:therapeutic use; D016030:Kidney Transplantation; D008231:Lymphopenia / Q000209:etiology; D008297:Male; D009894:Opportunistic Infections / Q000209:etiology*; D011020:Pneumonia, Pneumocystis / Q000209:etiology*; D011183:Postoperative Complications / Q000382:microbiology*; D011552:Pseudomonas Infections / Q000209:etiology* / Q000382:microbiology
D007166:Immunosuppressive Agents