THE SPECTRUM OF PNEUMOCYSTIS-CARINII INFECTION AFTER LIVER-TRANSPLANTATION IN CHILDREN

被引:24
作者
COLOMBO, JL [1 ]
SAMMUT, PH [1 ]
LANGNAS, AN [1 ]
SHAW, BW [1 ]
机构
[1] UNIV NEBRASKA,MED CTR,DEPT SURG,TRANSPLANT SERV SECT,OMAHA,NE 68198
关键词
D O I
10.1097/00007890-199210000-00010
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We report the experience with Pneumocystis carinii lung infections in the 109 children undergoing liver transplantation at our hospital between August, 1985 and May, 1989. PCP developed in 9 of the 86 patients (10%) surviving greater-than-or-equal-to 6 weeks after transplantation and not receiving P carinii chemoprophylaxis. Of the 59 patients undergoing BAL 2 or more weeks after transplantation there were 16 specimens from 14 patients (24%) positive for P carinii. These patients had a spectrum of illness ranging from asymptomatic to severe pneumonia requiring mechanical ventilation. The mean interval from first transplantation to bronchoalveolar lavage positive for P carinii was 24.9 weeks and the mean interval to first PCP was 28.0 weeks. The earliest and latest occurrences of PCP were 7 weeks and 73 weeks, respectively, after transplantation. There were no complications attributed to BAL.
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页码:621 / 624
页数:4
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