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Pneumocystis carinii pneumonia after liver transplantation:its diagnosis and treatment

Pneumocystis carinii pneumonia after liver transplantation:its diagnosis and treatment
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摘要 To discuss the diagnosis and treatment of Pneumocystis carinii pneumonia after liver transplantation.Methods The successful experiences of diagnosis and treatment of P.carinii pneumonia after liver transplantation at General Hospital of PLA were introduced.Results Among the 63 cases underwent liver transplantation,one patient complicated with P.carinii pneumonia at the 94th post-transplant day.Fever and dyspnea were the main manifestations,image scans demonstrated diffuse interstitial infiltration of both lungs;blood gas analysis revealed type Ⅰ respiratory failure.P.carinii pneumonia was diagnosed clinically,and the patient recovered uneventfully after using corticosteroids and high-dose trimethoprim-sulfamethoxazole (TMP-SMX).Conclusion P.carinii pneumonia,a less common and serious opportunistic infection after liver transplantation,should be diagnosed and treated timely,and it could be eliminated by routine chemoprophylaxis with low-dose TMP-SMX.6 refs,2 figs. To discuss the diagnosis and treatment of Pneumocystis carinii pneumonia after liver transplantation.Methods The successful experiences of diagnosis and treatment of P.carinii pneumonia after liver transplantation at General Hospital of PLA were introduced.Results Among the 63 cases underwent liver transplantation,one patient complicated with P.carinii pneumonia at the 94th post-transplant day.Fever and dyspnea were the main manifestations,image scans demonstrated diffuse interstitial infiltration of both lungs;blood gas analysis revealed type Ⅰ respiratory failure.P.carinii pneumonia was diagnosed clinically,and the patient recovered uneventfully after using corticosteroids and high-dose trimethoprim-sulfamethoxazole (TMP-SMX).Conclusion P.carinii pneumonia,a less common and serious opportunistic infection after liver transplantation,should be diagnosed and treated timely,and it could be eliminated by routine chemoprophylaxis with low-dose TMP-SMX.6 refs,2 figs.
作者 刘全达
机构地区 Inst Hepatobil Surg
出处 《外科研究与新技术》 2005年第3期155-155,共1页 Surgical Research and New Technique
关键词 PNEUMOCYSTIS
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