Insuficiencia respiratoria hipoxémica grave por Pneumocystis jirovecii después de trasplante renal

John Fredy Nieto-Ríos, Mónica Zuluaga-Quintero, Arbey Aristizábal-Alzate, Catalina Ocampo-Kohn, Lina María Serna-Higuita, Isabel Cristina Ramírez-Sánchez, Gustavo Adolfo Zuluaga-Valencia

Producción científica: Contribución a una revistaArtículo en revista científica indexadarevisión exhaustiva

1 Cita (Scopus)

Resumen

Pneumonia caused by Pneumocystis jirovecii is an uncommon infection in kidney transplant patients that can have an acute and rapid progression to respiratory failure and death. The period of greatest risk occurs in the first six months after the transplant, and it relates to the high doses of immunosuppression drugs required by patients. However, it may occur late, associated with the suspension of prophylaxis with trimethoprim-sulfamethoxazole. We present two cases of renal transplant patients who had severe hypoxemic respiratory failure due to P. jirovecii six years after transplantation. In addition to steroids, they received treatment with trimethoprim-sulfamethoxazole. One patient died, while the other had clinical recovery, with preservation of the renal graft function.
Idioma originalEspañol (Colombia)
Páginas (desde-hasta)32-36
Número de páginas5
PublicaciónBiomedica
Volumen38
N.º1
DOI
EstadoPublicada - 15 mar. 2018
Publicado de forma externa

Palabras clave

  • Graft rejection
  • Kidney transplantation
  • Mortality
  • Pneumocystis jirovecii
  • Respiratory insufficiency

Tipos de Productos Minciencias

  • Artículos de investigación con calidad Q3

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