title: Infections in intestinal and multivisceral transplant recipients.
abstract: Intestinal and multivisceral transplantation has become an effective treatment option for patients with intestinal failure. More potent immunosuppressive therapy has resulted in a decreased incidence of acute rejection and has improved patient survival. However, infectious complications can cause significant morbidity both before and after transplantation. In comparison with other solid organ transplant recipients, these patients experience higher rates of acute allograft rejection, thus requiring higher levels of immunosuppression and escalating the risk of infection. This article reviews the most common infectious disease complications encountered, and proposes a potential temporal association for types of infections in this patient population.
authors.affiliation: Division of Infectious Diseases, Department of Medicine, MedStar Georgetown University Hospital, Washington, DC 20007, USA. timponej@gunet.georgetown.edu
authors.forename: Joseph G
authors.initials: JG
authors.lastname: Timpone
authors.forename: Raffaele
authors.initials: R
authors.lastname: Girlanda
authors.forename: Lauren
authors.initials: L
authors.lastname: Rudolph
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Fishbein
mesh_terms: D002177:Candidiasis / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology; D005767:Gastrointestinal Diseases / Q000601:surgery*; D006801:Humans; D016867:Immunocompromised Host; D009894:Opportunistic Infections / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D016377:Organ Transplantation; D011183:Postoperative Complications; D057234:Preoperative Period; D014180:Transplantation; D014777:Virus Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology