Two Cases of Pneumocystis Pneumonia after Liver Transplantation Presenting with Different Clinical Manifestations / 대한이식학회지
The Journal of the Korean Society for Transplantation
; : 114-117, 2010.
Article
em Ko
| WPRIM
| ID: wpr-38804
Biblioteca responsável:
WPRO
ABSTRACT
Pneumocystis carinii pneumonia (PCP), now known as Pneumocystis jirovecii, is a fungal pathogen that causes opportunistic disease, especially pneumonia, in immunocompromised patients. The patients can have a spectrum of illnesses ranging from asymptomatic to fulminant respiratory failure. Here we report two cases with pneumocystis pneumonia after liver transplantation who presented with different clinical features. One patient developed acute respiratory failure requiring mechanical ventilation and expired due to PCP and a superimposed bacterial infection. The other patient was asymptomatic and discovered by regular X-ray check-up. He was successfully treated with trimethoprim/sulfamethoxazole. As shown by our cases, PCP presents with broad clinical manifestations and leads to various clinical courses in liver transplant recipients. Thus, Pneumocystis jirovecii has to be considered a potential pathogen of pneumonia in liver transplant recipients regardless of severity, especially one who is not on prophylactic medications. We consider prophylaxis of PCP in liver transplant recipients in our center.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Pneumocystis
/
Pneumonia
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Pneumonia por Pneumocystis
/
Respiração Artificial
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Insuficiência Respiratória
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Infecções Bacterianas
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Transplante de Fígado
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Hospedeiro Imunocomprometido
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Pneumocystis carinii
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Fígado
Limite:
Humans
Idioma:
Ko
Ano de publicação:
2010
Tipo de documento:
Article