By Jorge Ortiz, Jason André
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Extra info for After the Kidney Transplant - The Patients and Their Allograft
If, according to these guidelines, vaccination with BCG can give a ‘false-positive’ PPD skin test, then some patients may be treated unnecessarily. Most believe that the effect of BCG should not persist for more than 10 years (9). 2 Therapy Because of the increase in multidrug-resistant (MDR) strains, appropriate therapy should include four agents: isoniazid (INH), rifampin (RIF), pyrazinamide (PZA), and ethambutol (EMB) or intramuscular streptomycin (SM) for 2 months or until susceptibility tests results are available followed by up to 10 months of INH and RIF (7).
Significant extrapulmonary disease is uncommon in the transplant recipient (Fishman, 2001). 3 Diagnosis The characteristic hypoxemia of Pneumocystis pneumonia produces a broad alveolararterial partial pressure of oxygen gradient. The level of serum lactate dehydrogenase is elevated in most patients with Pneumocystis pneumonia (>300 IU/mL). There is no diagnostic pattern exists for Pneumocystis pneumonia on routine chest radiograph that may be entirely normal or develop the classic pattern of perihilar and interstitial ground-glass infiltrates.
Management of pediatric postrenal transplantation infections. , 21; pp. 521–531. ; Harmon, WE & North American Pediatric Renal Transplant Cooperative Study (NAPRTCS). Risk factors for posttransplant lymphoproliferative disorder (PTLD) in pediatric kidney transplantation: A report of the North American Pediatric Renal Transplant Cooperative Study (NAPRTCS). , 71; pp. 1065–1068. Infectious Complications in Kidney Transplantation 37 Drobniewski, FA. & Ferguson, J. (1996) Tuberculosis in renal transplant units.
After the Kidney Transplant - The Patients and Their Allograft by Jorge Ortiz, Jason André