Pulmonary fungal infection after renal transplantation: analysis of 40 cases / 南方医科大学学报
Journal of Southern Medical University
; (12): 880-883, 2016.
Article
Dans Zh
| WPRIM
| ID: wpr-286881
Responsable en Bibliothèque :
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To explore the clinical characteristics, therapeutic measures and risk factors of pulmonary fungal infection in patients after renal transplantation.</p><p><b>METHODS</b>The clinical data of 176 patients receiving renal allograft transplantation with postoperative infections were retrospectively analyzed. Among the patients, 40 were diagnosed to have pulmonary fungal infection, and their clinical symptoms, signs, radiographic findings, pathogenic bacterial culture, histopathological examination, and treatments were analyzed.</p><p><b>RESULTS</b>The 40 recipients with postoperative pulmonary fungal infection included 25 male and 15 female patients with a mean age of 49 years. Twenty-eight of the patients developed pulmonary fungal infection within 6 months after transplantation. Positive pathogen cultivation was reported in 19 cases, and Candida albicans was detected in 11 cases, Candida krusei in 2 cases, Candida glabrata in 3 cases, Candida tropicalis in 1 case, aspergillosis in 1 case, and Candida mycoderma in 1 case. Twenty-four of out of the 40 cases were found to have co-infection. All the patients received antifungal drugs and adjuvant treatments, and 38 patients were cured and 2 died.</p><p><b>CONCLUSION</b>Pulmonary fungal infection often occurs within 6 months after renal transplantation. The most common fungal pathogen is Candida albicans, and the patients often had coinfections. Early diagnosis and timely intervention with antifungal drugs and comprehensive measures are critical in the management of pulmonary fungal infection following renal transplantation.</p>
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Complications postopératoires
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Aspergillus
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Candida
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Épidémiologie
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Études rétrospectives
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Facteurs de risque
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Transplantation rénale
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Utilisations thérapeutiques
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Mycoses pulmonaires
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Microbiologie
Type d'étude:
Etiology_studies
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Observational_studies
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Risk_factors_studies
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Screening_studies
Limites du sujet:
Female
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Humans
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Male
langue:
Zh
Texte intégral:
Journal of Southern Medical University
Année:
2016
Type:
Article