Endemic Fungal Infections in Solid Organ Transplantation

Approach to the Solid Organ Transplant Patient with Suspected Fungal Infection

“…143 The diagnosis of PDH is made frequently with blood or tissue cultures or with urine Histoplasma antigen testing, which has a sensitivity of 92% in patients with disseminated disease. 87–89 …”

Infection in Renal Transplant Recipients

“…38,39 Although this late period is not considered to be a highrisk period for opportunistic infections, some may occur after augmentation of immunosuppression. 4,[41][42][43] The late period is also notable for the occurrence of healthcare-associated infections. Moreover, there are episodes of later rejection that require additional augmentation of immunosuppression and diabetes mellitus, infections, and malignancies may further increase the risk for later opportunistic infections.…”

Screening Coccidioides serology in kidney transplant recipients: A 10‐year cross‐sectional analysis

“…Complicated infection, characterized by severe pulmonary involvement or extrapulmonary dissemination, occurs with a higher incidence in certain populations including solid organ transplant (SOT) recipients . While de novo infection does occur in SOT recipients, most cases are felt to represent reactivation of latent infection . Given the potential severity of coccidioidomycosis post‐transplantation, current guidelines recommend pre‐transplant screening of candidates who have a history of residence in or travel to endemic areas …”

“…While de novo infection does occur in SOT recipients, most cases are felt to represent reactivation of latent infection . Given the potential severity of coccidioidomycosis post‐transplantation, current guidelines recommend pre‐transplant screening of candidates who have a history of residence in or travel to endemic areas …”