lethal pneumocystis jiroveci pneumonia 24 years after kidney transplantation
نویسندگان
چکیده
introduction: pneumocystis jiroveci is an opportunistic infectious fungus in immunosuppressed patients, particularly in ones with acquired immunodeficiency syndrome (aids). the use of immunosuppressive drugs especially corticosteroids predisposes the transplanted patients to a variety of infectious diseases including pneumocystis infection. in many developed countries, the incidence of pneumocystis jiroveci pneumonia (pjp) is dwindling in transplant patients receiving appropriate prophylaxis. in this study, definitive diagnosis of pneumocystis infection in a patient receiving kidney transplant was presented. case presentation: the patient was a 45-year-old man with a history of kidney transplantation 24 years ago, admitted to a specialized hospital in tehran because of fever and respiratory distress. upon admission, the patient showed symptoms of unconsciousness and shortness of breath. paraclinical tests and complementary examinations such as microscopic observation and molecular analysis confirmed the definitive diagnosis of pneumocystis infection. specific treatment with trimethoprim/sulfamethoxazole was carried out alongside other therapeutic measures; but unfortunately the patient did not respond to the specific treatment and died in the course of a progressive disease. discussion: the disease progress in these patients can still be fast and deadly. applying rapid molecular diagnostic techniques to start appropriate and timely treatment is essential. utilization of such diagnostic methods is recommended in our country.
منابع مشابه
Lethal Pneumocystis jiroveci pneumonia 24 Years After Kidney Transplantation
INTRODUCTION Pneumocystis jiroveci is an opportunistic infectious fungus in immunosuppressed patients, particularly in ones with acquired immunodeficiency syndrome (AIDS). The use of immunosuppressive drugs especially corticosteroids predisposes the transplanted patients to a variety of infectious diseases including Pneumocystis infection. In many developed countries, the incidence of Pneumocys...
متن کاملcorrigendum to: lethal pneumocystis jiroveci pneumonia 24 years after kidney transplantation [published in nephro urol mon. 2014 march; 6(2): e13605. doi: 10.5812/numonthly.13605]
متن کامل
Corrigendum to: Lethal Pneumocystis jiroveci pneumonia 24 Years After Kidney Transplantation [Published in Nephro Urol Mon. 2014 March; 6(2): e13605. DOI: 10.5812/numonthly.13605]
Copyright © 2014, Nephrology and Urology Research Center; Published by Kowsar Corp. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Here by, authors declare that the corrected authors list and affiliations are: Babak ...
متن کاملRisk of Pneumocystis jiroveci pneumonia in patients long after renal transplantation.
BACKGROUND Pneumocystis jiroveci pneumonia (PCP) is an important cause of morbidity and mortality in renal transplant recipients (RTRs). Chemoprophylaxis with trimethoprim/sulphamethoxazole is recommended during the early post-transplantation period, but the optimal duration has not been determined and a main drawback of chemoprophylaxis is the development of resistance of the commensal faecal ...
متن کاملRadiological presentation of Pneumocystis jiroveci pneumonia mimicking bacterial pneumonia.
To cite: Langevin B, Saleh M. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016215207 DESCRIPTION Atypical radiological presentations of Pneumocystis jiroveci pneumonia have been previously reported in non-HIV as well as in HIV-infected patients. We present the case of a 64-year-old woman with a history of left upper lobe small cell lung cancer in radiological ...
متن کاملPneumocystis jiroveci
Pneumocystis jiroveci, formerly known as Pneumocystis carinii, is now believed to be a fungus. P. jiroveci pneumonia is a fungal infection, the primary symptoms of which include progressive dyspnea, nonproductive cough, and low-grade fever. These patients are often profoundly hypoxemic, and chest radiographs typically show bilateral, diffuse interstitial infiltrates. While P. jiroveci pneumonia...
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عنوان ژورنال:
nephro-urology monthlyجلد ۶، شماره ۲، صفحات ۰-۰
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