title: Late onset pulmonary Lophomonas blattarum infection in renal transplantation: a report of two cases.
abstract: Lophomonas blattarum, a rare protozoa, was involved in pulmonary infections of transplant recipients. We report 2 cases of late onset pulmonary L. blattarum infection in renal transplant recipients with normal graft function and relative normal immune function. The diagnosis in both cases was confirmed by bronchoscopy and broncho alveolar lavage (BAL) fluid examination. Both cases were sensitive to metronidazole treatment, but one case did not completely recover during the follow-up. The diagnosis and treatment were discussed to facilitate improvement in the recognition of this rare infection, especially in transplant recipients.
authors.affiliation: Kidney Disease Center, First Affiliated Hospital, College of Medicine, Zhejiang University, China.
authors.forename: Qiang
authors.initials: Q
authors.lastname: He
authors.forename: Xiuju
authors.initials: X
authors.lastname: Chen
authors.forename: Bo
authors.initials: B
authors.lastname: Lin
authors.forename: Lihui
authors.initials: L
authors.lastname: Qu
authors.forename: Jianyong
authors.initials: J
authors.lastname: Wu
authors.forename: Jianghua
authors.initials: J
authors.lastname: Chen
mesh_terms: D000328:Adult; D000818:Animals; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D003058:Cockroaches / Q000469:parasitology; D006801:Humans; D007303:Insect Vectors / Q000469:parasitology; D016030:Kidney Transplantation / Q000009:adverse effects*; D008174:Lung Diseases, Parasitic / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D008875:Middle Aged; D011528:Protozoan Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014057:Tomography, X-Ray Computed
chemical_list: D000981:Antiprotozoal Agents; D008795:Metronidazole