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KMID : 0361120150290040242
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Korean Journal of Transplantation
2015 Volume.29 No. 4 p.242 ~ p.246
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Late Onset Infection of Pneumocystis jirovecii Infection in a Renal Transplant Recipient
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Kim Dong-Han
Kim Hee-Yeoun
Yun Jeong-Hee
Kim Doo-Youp
Jung Hyun-Do
Lee Jin-Ho
Oh Joon-Seok
Kim Sung-Min
Shin Yong-Hun
Kim Joong-Kyung
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Abstract
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Pneumocystis jirovecii pneumonia (PCP) can be a life-threatening opportunistic infection after kidney transplantation, occurring most frequently in the first 12 months with the symptoms of dyspnea, cough, fever, and hypoxia. Prophylaxis for PCP is usually applied during the first 3 months to 1 year after transplantation, but late onset incidence of PCP can be detected. We report on a patient who developed PCP 9 years after renal transplantation. The patient showed indolent onset of acute respiratory distress and was treated with trimethoprim-sulfamethoxazole and corticosteroid therapy. Previous rescue treatment of acute cellular rejection with ongoing maintenance of an elevated level of immunosuppressants may have predisposed the patient to PCP.
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KEYWORD
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Kidney transplantation, Pneumonia, Pneumocystis jirovecii, infection
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