Late onset invasive pneumococcal disease in a liver transplanted patient: beyond the Austrian syndrome

被引:11
作者
Belvisi, V. [1 ]
Del Borgo, C. [1 ]
Morelli, F. [1 ]
Marocco, R. [1 ]
Tieghi, T. [1 ]
Fabietti, P. [1 ]
Vetica, A. [1 ]
Lichtner, M. [1 ]
Mastroianni, C. M. [1 ]
机构
[1] Univ La Sapienza, SM Goretti Hosp, Infect Dis Unit, Fdn Eleonora Lorillard Spencer Cenci, I-04100 Latina, Italy
关键词
Streptococcus pneumoniae; liver transplantation; pneumococcal disease; INFECTIONS; RECIPIENTS; ADULTS; SURVEILLANCE; GUIDELINES; COMMITTEE; VACCINE; RISK;
D O I
10.1111/tid.12083
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Invasive disease caused by Streptococcus pneumoniae is a major cause of morbidity and mortality in high-risk individuals with severe comorbidities, including asplenia, chronic alcoholism, and altered immune status. The risk of invasive pneumococcal disease has been significantly higher in transplant patients compared with the general population. Here, we report an unusual case of a disseminated pneumococcal infection with meningitis, endocarditis, spondylodiscitis, and muscle abscess in an asplenic patient on chronic immunosuppressive therapy for liver transplantation performed 17years before.
引用
收藏
页码:E111 / E114
页数:4
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