Imaging Characteristics of<i>Pneumocystis pneumonia</i>after Renal Transplantation

Song, Ting; Wei, Liping; Liu, Ping; Mai, W; Li, Zhi-Zhao

doi:10.3109/08860220903367510

Cited by 3 publications

(3 citation statements)

References 22 publications

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“…[12] However, the stages of CXR and chest CT are not certainly accordant with each other. When CXR is at the mid stage, chest CT may be at the early- or mid-stage.…”

Section: Discussionmentioning

confidence: 99%

Relationship between Radiological Stages and Prognoses of Pneumocystis Pneumonia in Non-AIDS Immunocompromised Patients

Jia

Gao

et al. 2016

Chinese Medical Journal

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Background:Although radiological features of pneumocystis pneumonia (PCP) in non-Acquired Immune Deficiency Syndrome (AIDS) immunocompromised patients have been reported by other authors, there were no studies on the radiological stages of PCP previously. This study aimed to elucidate the radiological stages and prognoses of PCP in non-AIDS immunocompromised patients.Methods:Retrospective analysis of radiological manifestations and prognoses of 105 non-AIDS PCP immunocompromised patients from August 2009 to April 2016 was conducted. Chest radiograph was divided into three stages: early stage (normal or nearly normal chest radiograph), mid stage (bilateral pulmonary infiltrates), and late stage (bilateral pulmonary consolidations); chest high-resolution computed tomography (HRCT) was also divided into three stages: early stage (bilateral diffuse ground-glass opacity [GGO]), mid stage (bilateral diffuse GGO and patchy consolidations), and late stage (bilateral diffuse consolidations).Results:The case fatality rate (CFR) of all patients was 34.3% (36/105), all of them took routine chest X-ray (CXR), and 84 underwent chest CT examinations. According to the CXR most near the beginning of anti-PCP therapy, 18 cases were at early stage and CFR was 0 (0/18, P < 0.01), 50 cases were at mid stage and CFR was 28.0% (14/50, P > 0.05), and 37 cases were at late stage and CFR was 59.5% (22/37, P < 0.01). According to the chest HRCT most near the beginning of anti-PCP therapy, 40 cases were at early stage and CFR was 20.0% (8/40, P > 0.05), 34 cases were at mid stage and CFR was 47.1% (16/34, P > 0.05), and 10 cases were at late stage and CFR was 80.0% (8/10, P < 0.05); barotrauma, including pneumothorax, pneumomediastinum, and pneumohypoderma, was found in 18 cases and the CFR was 77.8% (14/18, P < 0.01).Conclusions:Based on the radiological manifestations, the course of PCP in non-AIDS immunocompromised patients can be divided into three stages: early stage, mid stage, and late stage. The prognoses of patients treated at early stage are good, and those at late stage are poor. Furthermore, the CFR of patients with barotrauma is high.

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“…[12] However, the stages of CXR and chest CT are not certainly accordant with each other. When CXR is at the mid stage, chest CT may be at the early- or mid-stage.…”

Section: Discussionmentioning

confidence: 99%

Relationship between Radiological Stages and Prognoses of Pneumocystis Pneumonia in Non-AIDS Immunocompromised Patients

Jia

Gao

et al. 2016

Chinese Medical Journal

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“…Os tipos de estudo encontrados foram relatos de caso (9,1 2,17,22,25,30,37,41,42,44,47,50,51,57,58) , estudos retrospectivos (5,7,8, 10,11,21,24 ,28,29,31,32,35,39,43,45,56) , coorte (13,14,18,19,23,27,33,34,36,38,40,46,48,49,55) , casocontrole (6,15,20,26,59) e revisão de literatura (16,33,52) . Os locais de pesquisa dos artigos selecionados foram China (9,11,45,46,50) , Espanha (12,14,38,39,58) , Tunísia (33) , Bélgica (57) , Dinamarca (15,19) , Malásia (17) , Alemanha (7,18,23,28) , Turquia (21,25,32,34,36) , Brasil…”

Section: Resultsunclassified

“…Os achados radiográficos e tomográficos mais evidentes após o diagnóstico de pneumonia por PJ foram infiltrados bilaterais difusos, padrão de vidro fosco e/ ou consolidação por todo o campo pulmonar (11,17,26) . O quadro clínico mais relatado é dispneia progressiva, hipoxemia, febre, tosse improdutiva e insuficiência respiratória aguda (IRpA), com frequente necessidade de intubação endotraqueal (12,20,25,26) .…”

Section: Pneumocystis Jiroveciiunclassified

Caracterização de infecções pulmonares no pós-operatório tardio de transplante renal: uma revisão integrativa

Borges

Travassos

Figueirêdo

et al. 2016

RBPS

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Characterization of pulmonary infections in the late postoperative period of kidney transplantation: an integrative review Caracterización de infecciones pulmonares en el postoperatorio tardío de trasplante renal: una revisión integrativa RESUMO Objetivo: Caracterizar a natureza e frequência das infecções pulmonares em pacientes adultos pós-transplantados renais tardios. Métodos: Foi realizado um estudo de revisão bibliográfica nas seguintes bases de dados eletrônicas: PubMed, Scielo e Web of Science. Os critérios de elegibilidade do estudo foram: artigos publicados entre os anos de 2010 e 2015, nos idiomas inglês, português ou espanhol, do tipo: ensaios clínicos, randomizados ou não, estudos de caso-controle, estudos de coorte e estudos longitudinais em humanos. Foram excluídos os artigos cujos participantes da pesquisa fossem menores de 18 anos de idade, além dos artigos duplicados em mais de uma das bases de dados. As palavras-chave utilizadas e combinadas na pesquisa foram: pneumonia, infecção pulmonar, infecção, transplante renal, hospitalização. Resultados: Os agentes etiológicos mais incidentes são Pneumocystis jirovecii, Mycobacterium tuberculosis e Aspergillus fumigatus. As infecções pulmonares são devidas, em grande número, ao regime imunossupressor, tempo prolongado de hemodiálise, disfunção de enxerto e transmissão inter humana. Frequentemente, essas infecções evoluem com dispneia progressiva e insuficiência respiratória aguda, sendo necessária ventilação mecânica invasiva ou não invasiva. Conclusão: As evidências científicas apontam uma alta prevalência de infecções pulmonares nos pacientes transplantados renais.

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Pneumocystis Jirovecii Pneumonia in Renal Transplant Recipients: A National Center Experience

Borštnar

Lindič

Tomažič

et al. 2013

Transplantation Proceedings

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Imaging Characteristics ofPneumocystis pneumoniaafter Renal Transplantation

Cited by 3 publications

References 22 publications

Relationship between Radiological Stages and Prognoses of Pneumocystis Pneumonia in Non-AIDS Immunocompromised Patients

Relationship between Radiological Stages and Prognoses of Pneumocystis Pneumonia in Non-AIDS Immunocompromised Patients

Caracterização de infecções pulmonares no pós-operatório tardio de transplante renal: uma revisão integrativa

Pneumocystis Jirovecii Pneumonia in Renal Transplant Recipients: A National Center Experience

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