Pneumocystis carinii infection in a renal transplant recipient presented as walking pneumonia occurring 18 years after transplantation : a case report
Joint Authors
Chiu, Hsien-Fu
Shu, Kuo Hsiung
Wen, Mei Chin
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 19, Issue 6 (30 Jun. 2017), pp.1-5, 5 p.
Publisher
Publication Date
2017-06-30
Country of Publication
United Arab Emirates
No. of Pages
5
Main Subjects
Topics
Abstract EN
Pneumocystis carinii pneumonia remains a crucial cause of morbidity and mortality in organ transplant recipients.
Pneumocystis carinii pneumonia occurs most frequently within the first 6 months post-transplant.
Onset is generally fulminant, and typical symptoms include fever and productive cough accompanied with respiratory distress.
Case Presentation: Here, we present a case of a patient who developed P.
carinii pneumonia 18 years after renal transplantation and referred to Taichung Veteran General hospital in Taiwan in September 2015.
The disease course was indolent without hypoxemia and dyspnea, mimicking walking pneumonia.
The risk factors in our case contributing to P.
carinii pneumonia included increased doses of immunosuppressants due to recent rejection, treatment with tacrolimus rather than cyclosporine, lymphopenia, and possibly the occurrence of urothelial carcinoma, implying an immune-deficient state.
The inflammatory response of P.
carinii pneumonia was not intense and gave rise to an indolent disease course.
Conclusions: This case should remind clinicians that P.
carinii pneumonia could present atypically in an indolent form many years following organ transplantation, especially when predisposing factors are present.
Longer duration of P.
carinii pneumonia prophylaxis, especially for high-risk patients such as those with potent immunosuppressive regimen, or those who received recent treatment for acute cellular or humeral rejection may be considered.
American Psychological Association (APA)
Chiu, Hsien-Fu& Wen, Mei Chin& Shu, Kuo Hsiung. 2017. Pneumocystis carinii infection in a renal transplant recipient presented as walking pneumonia occurring 18 years after transplantation : a case report. Iranian Red Crescent Medical Journal،Vol. 19, no. 6, pp.1-5.
https://search.emarefa.net/detail/BIM-767362
Modern Language Association (MLA)
Chiu, Hsien-Fu…[et al.]. Pneumocystis carinii infection in a renal transplant recipient presented as walking pneumonia occurring 18 years after transplantation : a case report. Iranian Red Crescent Medical Journal Vol. 19, no. 6 (Jun. 2017), pp.1-5.
https://search.emarefa.net/detail/BIM-767362
American Medical Association (AMA)
Chiu, Hsien-Fu& Wen, Mei Chin& Shu, Kuo Hsiung. Pneumocystis carinii infection in a renal transplant recipient presented as walking pneumonia occurring 18 years after transplantation : a case report. Iranian Red Crescent Medical Journal. 2017. Vol. 19, no. 6, pp.1-5.
https://search.emarefa.net/detail/BIM-767362
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 5
Record ID
BIM-767362