肝移植术后卡氏肺孢子菌肺炎1例报告

张达利; 高银杰; 冯丹妮; 张利娟; 贺希; 刘振文; 刘鸿凌

doi:10.3969/j.issn.1001-5256.2019.02.030

肝移植术后卡氏肺孢子菌肺炎1例报告

DOI: 10.3969/j.issn.1001-5256.2019.02.030

解放军总医院第五医学中心肝移植中心

基金项目:

首都市民健康培育项目(Z16110000116058)；解放军总医院第五医学中心基金项目(YNKT2014006)；

详细信息

中图分类号: R654.3;R519
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出版历程
- 出版日期: 2019-02-20

A case of Pneumocystis carini pneumonia after liver transplantation

Department of liver transplantation, the Fifth Medical Centre, Chinese PLA General Hospital

Research funding:

摘要

摘要: <正>1病例资料患者男性,60岁,因"肝移植术后3个月余,咳嗽、少痰1周"入院。曾于2017年10月1日因诊断"乙型肝炎肝硬化失代偿期合并腹水、原发性肝癌"在本院行"同种异体原位全肝移植术",术后常规抗排斥、预防乙型肝炎复发等治疗,本院门诊规律随访。2018年1月5日,患者自觉食欲欠佳,食量减少1/3,晨起咯少量白痰。1月9日,复查血常规:WBC 2. 03×109/L、中性粒细胞百分比43. 00%、RBC 2. 99×1012/L、Hb 86. 00 g/L、PLT
- 肝移植 /
- 肺炎,肺囊虫性 /
- 手术后并发症 /
- 病例报告
- liver transplantation /
- pneumonia, pneumocystis /
- postoperative complications /
- case reports

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参考文献(6)

[1]COOLEY C, DENDLE J, WOLF B, et al.Consensus guidelines for diagnosis, prophylaxis and management of pneumocystis jirovecii pneumonia in patients with haematological and solid malignancies[J].Intern Med J, 2014, 44 (12b) :1350-1363.

[2]GILROY S, BENNETT N.Pneumocystis pneumonia[J].Semin Respir Crit Care Med, 2011, 32 (6) :775-782.

[3]BRAKEMEIER S, PFAU A, ZUKUNFT B, et al.Prophylaxis and treatment of pneumocystis jirovecii pneumonia after solid organ transplantation[J].Pharmacol Res, 2018, 134 (8) :61-67.

[4]MARTIN SI, FISHMAN JA.AST Infectious Diseases Community of Practice.Pneumocystis pneumonia in solid organ transplantation[J].Am J Transplant, 2013, 3 (4) :272-279.

[5]TU GW, JU MJ, XU M, et al.Combination of caspofungin and low-dose trimethoprim/sulfamethoxazole for the treatment of severe Pneumocystis jirovecii pneumonia in renal transplant recipients[J].Nephrology (Carlton) , 2013, 18 (11) :736-742.

[6]ZHANG DL, ZANG H, GAO YJ, et al.Clinical features of pure red cell aplasia associated with human parvovirus B19 infection after liver transplantation[J].J Clin Hepatol, 2017, 33 (1) :146-149. (in Chinese) 张达利, 臧红, 高银杰, 等.肝移植术后发生人细小病毒B19相关纯红细胞再生障碍性贫血的临床特点分析[J].临床肝胆病杂志, 2017, 33 (1) :146-149.

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