Academic Journal
An Interesting Case of Kidney Transplant Recipient with Multiple Concomitant Infections- 10 Years Post Transplantation
| العنوان: | An Interesting Case of Kidney Transplant Recipient with Multiple Concomitant Infections- 10 Years Post Transplantation |
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| المؤلفون: | Chilaka Rajesh, Utkarsh Mishra, Ankit Jain, T. Jayaprakash, Phaneesh Bharadwaj, Selvin Sundar Rajmani, Nisha Jose, Jeethu Joseph Eapen, Elenjickal Elias John, Santosh Varughese |
| المصدر: | Indian Journal of Transplantation, Vol 18, Iss 4, Pp 449-452 (2024) |
| بيانات النشر: | Wolters Kluwer Medknow Publications, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Surgery |
| مصطلحات موضوعية: | cytomegalovirus viraemia, cryptococcal meningitis, disseminated tuberculosis, Surgery, RD1-811 |
| الوصف: | Opportunistic infections or pathogens that reactivate from latent infection in the renal transplant recipients often arise during the peak immunosuppression period and infections such as Pneumocystis jirovecii may arise in the late period of posttransplant. In developing countries, tuberculosis (TB) is a major concern among transplant patients. Here, we present a case of 42-year-old male who presented after 10 years of renal transplant with a history of fever. On evaluation, he was diagnosed to have concomitant multiple infections like disseminated TB, Cryptococcal meningitis, Cytomegalovirus viremia, and Pneumocystis infection. He was treated with appropriate antibiotics, antifungal, and antiviral with close monitoring of drug-related side effects and graft function. Detailed evaluation and to look for concomitant infections is required for transplant patients who had no response to one particular group of drugs after initial diagnosis. He had stable graft function and developed drug-related side effects which required dose reduction intermittently. This case taught us how to manage four major infections with balancing immunosuppression, antibiotics, and graft function that we see in day-to-day practice of transplant clinics. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2212-0017 2212-0025 |
| Relation: | https://journals.lww.com/10.4103/ijot.ijot_10_23; https://doaj.org/toc/2212-0017; https://doaj.org/toc/2212-0025 |
| DOI: | 10.4103/ijot.ijot_10_23 |
| URL الوصول: | https://doaj.org/article/9b628b55a7514e7ea1ca40bb83ff4521 |
| رقم الانضمام: | edsdoj.9b628b55a7514e7ea1ca40bb83ff4521 |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 22120017 22120025 |
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| DOI: | 10.4103/ijot.ijot_10_23 |