| Prognostic significance of pathological chest radiography in transplant patients affected by cytomegalovirus and/or pneumocystis carinii. | |
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MedLine Citation:
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PMID: 8915284 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: In order to evaluate the prognostic significance of chest film findings in connection with cytomegalovirus (CMV) and/or pneumocystis carinii infection (PC), a retrospective review was made of the pulmonary charts of 274 recipients of kidney and/or pancreatic grafts transplanted between April 1987 and December 1990. MATERIAL, METHODS AND RESULTS: Positive laboratory findings for CMV and/or PC were seen in 92 patients. In 77 patients only CMV was found, 13 patients had both CMV and PC, and 2 patients had only PC. In 57 patients a chest examination was performed. The films were reviewed by 2 radiologists independently. In 32 patients normal chest film findings were seen, while 25 patients demonstrated pathological changes. Of the patients with pathological changes 3 had only pleuritis while the remaining 22 demonstrated parenchymal infiltrations. No deaths occurred among patients infected with CMV and/or PC, when the chest film findings were normal or pleuritis only was seen, but there were 9 deaths in the group of patients with parenchymal infiltrations. Of the patients who died, 2 had only CMV, 5 had both CMV and PC, and 2 had only PC. The overall mortality, regardless of radiological findings, did not exceed 3% in patients with CMV only, but increased to 38% in patients with both CMV and PC. In patients with parenchymal infiltrations the corresponding mortality figures were increased to 18% and 56%, respectively. CONCLUSION: We conclude that a radiologically verified pneumonia related to the infectious agent influences the prognosis, and that CMV pneumonia has a better prognosis than PC pneumonia. |
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Authors:
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B Wilczek; H E Wilczek; N Heurlin; G Tydén; P Aspelin |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta radiologica (Stockholm, Sweden : 1987) Volume: 37 ISSN: 0284-1851 ISO Abbreviation: Acta Radiol Publication Date: 1996 Sep |
Date Detail:
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Created Date: 1996-12-12 Completed Date: 1996-12-12 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8706123 Medline TA: Acta Radiol Country: DENMARK |
Other Details:
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Languages: eng Pagination: 727-31 Citation Subset: IM |
Affiliation:
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Department of Transplantation Surgery, Karolinska Hospital, Stockholm, Sweden. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cytomegalovirus Infections
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mortality,
radiography* Humans Immunosuppression / adverse effects Kidney Transplantation / radiography* Pancreas Transplantation / radiography* Pneumonia, Pneumocystis / mortality, radiography* Pneumonia, Viral / mortality, radiography* Postoperative Complications / microbiology, mortality, radiography* Prognosis Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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