Late-onset and atypical presentation of Pneumocystis carinii pneumonia in a renal transplant recipient
Date
2008
Authors
Li, J.
Yong, T.
Grove, D.
Coates, P.
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Advisors
Journal Title
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Type:
Journal article
Citation
Clinical and Experimental Nephrology, 2008; 13(1):92-95
Statement of Responsibility
Jordan Y. Z. Li, Tuck Y. Yong, David I. Grove and P. Toby H. Coates
Conference Name
Abstract
Pneumocystis jivorecii (formerly known as carinii) pneumonia (PCP) is potentially a life-threatening opportunistic infection after organ transplantation, occurring most frequently in the first 12 months, where the incidence rate is several-fold higher than in later years. PCP typically presents with fever, cough, dyspnoea and hypoxia. In organ transplant recipients, the onset of symptoms is generally more fulminant compared to patients infected with the human immunodeficiency virus. We present a patient who developed PCP five years after a renal transplantation. His presentation was characterised by atypical symptoms and an indolent onset. Previous acute vascular rejection, ongoing maintenance prednisolone usage, cytomegalovirus seropositivity and past tuberculous infection may have predisposed this patient to PCP.
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Description
The original publication can be found at www.springerlink.com