title: A 42-Year-Old Woman With Anemia, Shock, and Ischemic Stroke After Lung Transplantation.
abstract: A 42-year-old woman with mixed connective tissue disease-associated interstitial lung disease underwent bilateral lung transplantation. She had an uneventful surgery and was extubated 3 h later. Induction immunosuppression therapy included methylprednisolone 500 mg intraoperatively, basiliximab (anti-IL-2 monoclonal antibody) on days 0 and 4 after transplantation, and methylprednisolone 125 mg intravenously bid for 2 days following surgery. Maintenance immunosuppression therapy consisted of prednisone 20 mg daily, mycophenolate mofetil 750 mg bid, and enteral tacrolimus 0.5 mg bid. Both the donor and the recipient were seropositive for cytomegalovirus. Infectious disease prophylaxis consisted of valganciclovir, trimethoprim-sulfamethoxazole, and voriconazole.
authors.affiliation: Division of Pulmonary Critical Care and Sleep Medicine, University of Florida, Gainesville, FL.
authors.forename: Abhishek
authors.initials: A
authors.lastname: Biswas
authors.affiliation: Division of Pulmonary Critical Care and Sleep Medicine, University of Florida, Gainesville, FL.
authors.forename: Ali
authors.initials: A
authors.lastname: Ataya
authors.affiliation: Division of Pulmonary Critical Care and Sleep Medicine, University of Florida, Gainesville, FL.
authors.forename: Juan C
authors.initials: JC
authors.lastname: Salgado
authors.affiliation: Division of Pulmonary Critical Care and Sleep Medicine, University of Florida, Gainesville, FL.
authors.forename: Satish
authors.initials: S
authors.lastname: Chandrasekharan
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, University of Florida, Gainesville, FL.
authors.forename: Tiago N
authors.initials: TN
authors.lastname: Machuca
authors.affiliation: Division of Pulmonary Critical Care and Sleep Medicine, University of Florida, Gainesville, FL. Electronic address: amir.emtiazjoo@medicine.ufl.edu.
authors.forename: Amir M
authors.initials: AM
authors.lastname: Emtiazjoo
mesh_terms: D058186:Acute Kidney Injury / Q000175:diagnosis / Q000209:etiology; D000328:Adult; D000740:Anemia / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D065766:Atypical Hemolytic Uremic Syndrome / Q000150:complications / Q000175:diagnosis*; D001803:Blood Transfusion; D004452:Echocardiography; D005260:Female; D006084:Graft Rejection / Q000517:prevention & control; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D020244:Infarction, Middle Cerebral Artery / Q000000981:diagnostic imaging*; D017563:Lung Diseases, Interstitial / Q000209:etiology / Q000601:surgery*; D016040:Lung Transplantation; D008279:Magnetic Resonance Imaging; D008947:Mixed Connective Tissue Disease / Q000150:complications; D011183:Postoperative Complications / Q000175:diagnosis*; D012769:Shock / Q000175:diagnosis* / Q000209:etiology; D020521:Stroke / Q000000981:diagnostic imaging* / Q000209:etiology; D013921:Thrombocytopenia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy
chemical_list: D007166:Immunosuppressive Agents