Lege Artis Medicinae

[Pneumocystis pneumonia following kidney transplantation]

LÁZÁR Norbert1, HÍDVÉGI Márta2, JÁRAY Jenő2, PERNER Ferenc2

JULY 27, 1994

Lege Artis Medicinae - 1994;4(07)

[Pneumocystis carinii pneumonia is a rather rare and difficult to prove complication in immunosuppressed patients after organ transplantation. Among 843 transplanted patients the pathogen role of the protozoon came up in 8 and 6 cases during the early postoperative period and later, but it couldn't be proved. In the presented case the performed investigations showed towards Cytomegalovirus (CMV) infection and only the pathohistological examinations led to the correct diagnosis. The histologic examinations did not show characteristic changes to CMV infection. The authors emphasize the importance of etiological diagnosis during the development of non-specific pulmonary clinical signs in predisposed patients by means of induced sputum and/or cytological examination of bronchial lavage or pulmonary biopsy, for adequate therapy and possible recovery.]

AFFILIATIONS

  1. Orvostovábbképző Egyetem II. sz. Patológiai Intézet
  2. Semmelweis Orvostudományi Egyetem I. sz. Sebészeti Klinika Budapest

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