Analysis Of 6 Clinical Cases Of Pulmonary Infection After Renal Transplantation

Objective To explore the characteristics of the clinical manifestation,diagnoses,treatment and outcome of patients with pulmonary infection after renal transplantation Method A retrospective evaluation was conducted on 6 patients of plumonary intection after renal transplantation,focused on the clinical manifestation,laboratory tests imaging,treatment and outcome.Result All of the 6 patients had a fever,some patients may have a cough and sputum,or complaining shortness of breath.The period in which the patients were infected was different.The imaging of the lung implied that there were changement of inflammation.We found acinetobacter baumannii(1/6),candida albicans(1/6)and candida krusei(1/6) in the sputum,without finding pathogeny in the blood.4 patients were cured by using antibiotic.Lophomonas blattarum was detected in the other 2 patients by fiberopticbronchoscopy(FOB) and bronchoalveolar lavage(BAL) examation.After using Metronidazole,the two patients were cured.Conclusion renaltransplantion has becomed one of the last treatments of end-stage renal disease.The patients are easier to be infected using immunosuppressants after the transplantation.Fever is the mainly manifestion,some patients may have a cough and sputum,or complaining shortness of breath.The pathogeny that cause pulmonary infection after transplantation contains bacteria,epiphyte,virus and protozoon.Lophomonas blattarum is a kind of protozoon parasitized in animals.In the blood and sputum may not find the pathogeny. Fiberopticbronchoscopy(FOB) and bronchoalveolar lavage(BAL) examinations can find the pathogeny.Metronidazole and tapered immunosuppressants is effective to cure pulmonary Lophomonas blattarum infection.