J Korean Soc Transplant.  1999 Dec;13(2):311-322.

Pulmonary Infection after Kidney Transplantation

Affiliations
  • 1Department of Surgery, Hallym University College of Medicine, Korea.
  • 2Department of Internal Medicine, Hallym University College of Medicine, Korea.
  • 3Department of Radiology, Hallym University College of Medicine, Korea.
  • 4Department of Pathology, Hallym University College of Medicine, Korea.
  • 5Department of Transplanation Coordinator, Hallym University College of Medicine, Korea.

Abstract

The infectious complications after renal transplantation remain as an important causes of both mortality and graft loss. The lung is the most common target for post-transplant infection. We analyzed the causative agents, treatments and outcomes of post-transplant pulmonary infections. From 1990 to 1998, 192 renal allografts were performed at Hallym University Hospital. Seven cases (3.6%) of 5 males and 2 females developed serious pulmonary infections and required hospitalization. The mean age was 42.6 years. The onsets of pulmonary infections were from a month to 6 months in 3 cases, from 6 months to a year in one case and after a year in 3 cases. Triple therapy regimen was used in 4 cases as an immunosuppression therapy. Acute rejections developed in 6 cases. Causative organisms were Cytomegalovirus in 2 cases, Mycobacteria in 2 cases, Aspergillus in a case, Nocardia in a case and unknown in a case. Despite appropriate antibiotics, four patients did not respond to the treatment and died. The early recognition of infection and appropriate therapy is important to reduce fatal consequence.

Keyword

Kidney transplantation; Pulmonary infection

MeSH Terms

Allografts
Anti-Bacterial Agents
Aspergillus
Cytomegalovirus
Female
Hospitalization
Humans
Immunosuppression
Kidney Transplantation*
Kidney*
Lung
Male
Mortality
Nocardia
Transplants
Anti-Bacterial Agents
Full Text Links
  • JKSTN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr