Late onset opportunistic infections in a renal allograft recipient: a case report.

Abstract

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

• Authors: Sabrina Morosi, Giuseppe Vittorio Luigi De Socio, Maurizio Fiorio, Giuliano Stagni
• Journal: Le infezioni in medicina (Infez Med) Vol. 12 Issue 2 Pg. 136-8 (Jun 2004) ISSN: 1124-9390 [Print] Italy
• PMID: 15316301 (Publication Type: Case Reports, Journal Article)

Chemical References

• Immunosuppressive Agents

Topics

• Agammaglobulinemia (etiology)
• Aged
• Bacteremia (microbiology)
• CD4 Lymphocyte Count
• Fatal Outcome
• Glomerulonephritis, Membranoproliferative (surgery)
• Heart Failure (etiology)
• Humans
• Immunocompromised Host
• Immunosuppressive Agents (adverse effects, therapeutic use)
• Kidney Transplantation
• Lymphopenia (etiology)
• Male
• Opportunistic Infections (etiology)
• Pneumonia, Pneumocystis (etiology)
• Postoperative Complications (microbiology)
• Pseudomonas Infections (etiology, microbiology)