Invasive Fungal Infections after Renal Transplantation
Background: Invasive fungal infection (IFI) is a leading cause of infection-related mortality among kidney allograft recipients.Objective: To estimate the incidence and etiology of systemic fungal infection in renal allograft recipients in Sydney transplant facility.Methods: 471 kidney recipients, t...
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Shiraz University of Medical Sciences
2012-01-01
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doaj-1adc1b709d234e6092577f24bd5ab54d2020-11-25T01:29:47ZengShiraz University of Medical SciencesInternational Journal of Organ Transplantation Medicine2008-64902008-64822012-01-01311825Invasive Fungal Infections after Renal TransplantationS EzzatzadeganS ChenJR ChapmanBackground: Invasive fungal infection (IFI) is a leading cause of infection-related mortality among kidney allograft recipients.Objective: To estimate the incidence and etiology of systemic fungal infection in renal allograft recipients in Sydney transplant facility.Methods: 471 kidney recipients, transplanted between 2000 and 2010 at the Westmead Hospital renal transplantation center, Sydney, Australia, were retrospectively surveyed.Results: IFI developed in 10 (2.1%) of 471 patients. With a mean±SD new kidney transplants per year of 42.9±13, the mean±SD incidence of IFI was 0.9±0.6 for each year of transplantation. 4 patients had received kidneys from living donors and 7 from cadavers with a mean±SD age of 50.5±14 years. The mean time to IFI was 33 months after transplantation with majority within the first 2 years. Cryptococcus neoformans was responsible for 50% of episodes (n=5) followed by Aspergillus fumigatus (n=3), and Pseudallescheria boydii (n=3); there was a single case of mucurmycosis. Lungs (n=5) followed by meninges (n=4) and skin (n=3) were the most commonly involved sites.Conclusion: IFI remains a major concern in renal transplantation. A high index of suspicion is required for early diagnosis and treatment to reduce the mortality. In this regard, appropriate diagnostic tests are necessary, particularly for C. neoformans.http://home.sums.ac.ir/~habibzaf/ojs/index.php/IJOTM/article/view/95/178Fungal infectionsRenal transplantationCryptococcosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
S Ezzatzadegan S Chen JR Chapman |
spellingShingle |
S Ezzatzadegan S Chen JR Chapman Invasive Fungal Infections after Renal Transplantation International Journal of Organ Transplantation Medicine Fungal infections Renal transplantation Cryptococcosis |
author_facet |
S Ezzatzadegan S Chen JR Chapman |
author_sort |
S Ezzatzadegan |
title |
Invasive Fungal Infections after Renal Transplantation |
title_short |
Invasive Fungal Infections after Renal Transplantation |
title_full |
Invasive Fungal Infections after Renal Transplantation |
title_fullStr |
Invasive Fungal Infections after Renal Transplantation |
title_full_unstemmed |
Invasive Fungal Infections after Renal Transplantation |
title_sort |
invasive fungal infections after renal transplantation |
publisher |
Shiraz University of Medical Sciences |
series |
International Journal of Organ Transplantation Medicine |
issn |
2008-6490 2008-6482 |
publishDate |
2012-01-01 |
description |
Background: Invasive fungal infection (IFI) is a leading cause of infection-related mortality among kidney allograft recipients.Objective: To estimate the incidence and etiology of systemic fungal infection in renal allograft recipients in Sydney transplant facility.Methods: 471 kidney recipients, transplanted between 2000 and 2010 at the Westmead Hospital renal transplantation center, Sydney, Australia, were retrospectively surveyed.Results: IFI developed in 10 (2.1%) of 471 patients. With a mean±SD new kidney transplants per year of 42.9±13, the mean±SD incidence of IFI was 0.9±0.6 for each year of transplantation. 4 patients had received kidneys from living donors and 7 from cadavers with a mean±SD age of 50.5±14 years. The mean time to IFI was 33 months after transplantation with majority within the first 2 years. Cryptococcus neoformans was responsible for 50% of episodes (n=5) followed by Aspergillus fumigatus (n=3), and Pseudallescheria boydii (n=3); there was a single case of mucurmycosis. Lungs (n=5) followed by meninges (n=4) and skin (n=3) were the most commonly involved sites.Conclusion: IFI remains a major concern in renal transplantation. A high index of suspicion is required for early diagnosis and treatment to reduce the mortality. In this regard, appropriate diagnostic tests are necessary, particularly for C. neoformans. |
topic |
Fungal infections Renal transplantation Cryptococcosis |
url |
http://home.sums.ac.ir/~habibzaf/ojs/index.php/IJOTM/article/view/95/178 |
work_keys_str_mv |
AT sezzatzadegan invasivefungalinfectionsafterrenaltransplantation AT schen invasivefungalinfectionsafterrenaltransplantation AT jrchapman invasivefungalinfectionsafterrenaltransplantation |
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