Cavitary lung lesion 6 years after renal transplantation
| Autor: | Sanjay K. Agarwal, Soumita Bagchi, Arun Kumar Subbiah, Chandan J Das, Karan Madan, Sudheer Arava |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Transplantation medicine.medical_specialty Pathology Tuberculosis Cavitary lung lesion business.industry medicine.medical_treatment 030106 microbiology Nocardiosis Immunosuppression Case Report medicine.disease Malignancy Aspergillosis Gastroenterology 03 medical and health sciences Internal medicine Cryptococcosis medicine business |
| Popis: | The differential diagnoses of a cavitary lung lesion in renal transplant recipients would include infection, malignancy and less commonly inflammatory diseases. Bacterial infection, Tuberculosis, Nocardiosis, fungal infections like Aspergillosis and Cryptococcosis need to be considered in these patients. Pulmonary cryptococcosis usually presents 16-21 mo after transplantation, more frequently in patients who have a high level of cumulative immunosuppression. Here we discuss an interesting patient who never received any induction/anti-rejection therapy but developed both BK virus nephropathy as well as severe pulmonary Cryptococcal infection after remaining stable for 6 years after transplantation. This case highlights the risk of serious opportunistic infections even in apparently low immunologic risk transplant recipients many years after transplantation. |
| Databáze: | OpenAIRE |
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