Naslov
Diseminirana aspergiloza u bolesnice s transplantiranim bubregom i gušteračom
(Disseminated aspergillosis in a patient with simultaneous pancreas and kidney transplant)

Autori
Piljac, Ante ; Fiala, Dunja ; Prkačin, Ingrid ; Škegro, Dinko ; Kovačević Vojtušek, Ivana ; Gracin, Sonja ; Kardum-Skelin, Ika ; Šušterčić, Dunja ; Sabljar Matovinović, Mirjana ; Knotek, Mladen.

Izvornik
Acta medica Croatica. Supplement (1331-1638) 65 (2011), 1; 203-206

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, prikaz, stručni

Ključne riječi
simultana transplantacija bubrega i gušterače; aspergiloza; imunosupresija
(simultaneous kidney and pancreas transplantation; aspergillosis; immunosuppression)

Sažetak
A 31-year-old woman suffering from diabetes type1 and terminal kidney disease, with simultaneously transplanted kidney and pancreas, developed an episode of acute organ rejection caused by antibodies. The management of organ rejection was complicated by cytomegalovirus viremia, with accompanying leukopenia and neutropenia. The patient also developed invasive aspergillosis of the lungs, which progressed and disseminated hematogenously to the thyroid gland and the skin. Due to resistance to classical antimycotic therapy, the patient was treated with a combination of caspofungin and variconazole. In the beginning of treatment, the effects of this combined therapy were not evident due to strong immunosuppression caused by antimycotic immunoglobulin, which the patient had been administered on her previous hospital stay to treat acute kidney transplant rejection caused by antibodies, as well as due to immunosuppression caused by tacrolimus, mycophenolate mofetil and prednisone. On combined therapy with antimycotic drugs and supportive therapy, the patient was completely cured.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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