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
Morosi
Sabrina
S
Clinica di Malattie Infettive, Dipartimento di Medicina Sperimentale e Scienze Biochimiche, Universita degli Studi di Perugia, Italy.
De Socio
Giuseppe Vittorio Luigi
GV
Fiorio
Maurizio
M
Stagni
Giuliano
G
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