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VIÊM PHỔI DO PNEUMOCYSTIS JIROVECII TRÊN NGƯỜI BỆNH GHÉP THẬN: CA LÂM SÀNG VÀ TỔNG QUAN Y VĂN
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Abstract
PNEUMOCYSTIS JIROVECII PNEUMONIEA IN RENAL TRANSPLANT RECIPIENTS: CASE REPORT AND LITERATURE REVIEW
Huynh Ngoc Phuong Thao, Tran Minh Hoang , Bui Thi Hanh Duyen
Pneumocystis Jirovecii pneumonia (PJP) is an opportunistic infection that can occur in kidney transplant patients, especially in the first 6 months after transplantation. PJP is also an important cause of death in kidney transplant patients. We report two cases of PJP in kidney transplant patients treated at the University Medical Center of Ho Chi Minh City (UMC). The first patient received a kidney transplant at UMC, this is the first case of PJP complications recorded at our center. In this case, PJP occurred about 2,5 months after transplantation, with vague clinical symptoms and severe lung injury on chest X-ray. In the second case, the patient had a kidney transplant at another center, PJP occurred relatively late, up to 4 years after the kidney transplant. In this case, his first complaint was not respiratory symptoms but unexplained weight loss. Both cases of PJP were severe, the patients were referred for follow-up in the Intensive Care Unit. Both responded well to treatment and were discharged with fully recovered respiratory status.
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Keywords
Pneumocystis jirovecii pneumonia, opportunistic infection, kidney transplant recipient, immunosuppression
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