MDCT evaluation of early pulmonary infection types after liver transplantation

Transplantation Proceedings
K HekimogluM Haberal

Abstract

Opportunistic pulmonary infections frequently occur after liver transplantation, and affect mortality and morbidity significantly. The purpose of this study was to define the incidence, types, and imaging characteristics of pulmonary infections in liver transplant recipients with multidetector CT (MDCT) evaluation. Thirty-five adult transplant recipients diagnosed with a pulmonary infection within the first 45 days posttransplantation were reviewed retrospectively from March 2002 to December 2013. MDCT features were evaluated retrospectively by 2 radiologists in consensus. All diagnoses were made by sputum analysis, cultures, biopsies, and postmortem histopathologic evaluation. Pneumococcus pneumonia was found in 7 patients. Five patients had nonspecific pneumonia, Candidiasis, Klebsiella, and Aspergillosis separately. S aureus pneumonia was detected in 2 patients and the other 2 patients had Escherichia coli pneumonia. Two patients had active tuberculosis and 1 patient had Acinetobacter pneumonia also. Four main MDCT patterns were identified: patchy infiltrations (10%), tree-in-bud pattern (9.5%), ground-glass opacity (8.5%), and nodules with halo sign (6%). One patient had a cavitary lesion owing to tuberculosis. Although the...Continue Reading

References

Jul 9, 2002·Clinical Transplantation·Cengiz CavusogluAltinay Bilgic
Nov 23, 2006·Transplantation Proceedings·S K HongT Y Ha
Jan 6, 2007·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Reginald E GreeneRobert H Rubin
Mar 31, 2007·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Makoto OsawaMichiaki Mishima
Aug 3, 2010·Computer Methods and Programs in Biomedicine·Galia KarivMical Paul
Mar 29, 2011·Transplantation Proceedings·E KupeliM Haberal

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Citations

Feb 16, 2020·International Journal of Molecular Sciences·Manuela CarugatiIfalt Working Group

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