Cytomegalovirus after kidney transplantation: a case review.
Cytomegalovirus is the most common infectious complication in solid-organ transplant recipients. Despite the frequency of the problem, no commonly accepted approach to cytomegalovirus prophylaxis and treatment exists. Because cytomegalovirus may lead to the modulation of the immune system sometimes causing opportunistic superinfections, allograft injury, acute rejection, chronic rejection, and development of posttransplant lymphoproliferative disease, transplant coordinators require knowledge of the disease, diagnostic methods, and treatment and prophylaxis strategies. This case study reviews a high-risk cytomegalovirus transplant recipient after living-related kidney transplantation. In addition to a review of the pathophysiology of the disease process, patient, family, and nursing staff education, and cultural and psychosocial aspects of cytomegalovirus, prophylaxis, diagnosis, treatment strategies as well as role of the transplant coordinator, will be discussed.
Lawson
Carol A
CA
University of Virginia Health System, Charles O. Strickler Transplant Program, Charlottesville, VA, USA.
D001741:Black or African American / Q000193:education / Q000208:ethnology; D001294:Attitude to Health / Q000208:ethnology; D003586:Cytomegalovirus Infections / Q000175:diagnosis / Q000208:ethnology / Q000209:etiology / Q000628:therapy; D046148:Donor Selection; D005190:Family / Q000208:ethnology; D005260:Female; D006167:Guilt; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects; D017053:Infection Control; D016030:Kidney Transplantation / Q000009:adverse effects* / Q000276:immunology; D024802:Nurse's Role; D009741:Nursing Staff, Hospital / Q000193:education; D010347:Patient Care Planning; D010353:Patient Education as Topic; D012307:Risk Factors; D012801:Sibling Relations; D009927:Tissue and Organ Procurement; D014181:Transplantation Immunology
D007166:Immunosuppressive Agents