Fungal and mycobacterial infections after Campath (alemtuzumab) induction for renal transplantation

被引:19
|
作者
Walsh, R. [1 ]
Ortiz, J. [1 ]
Foster, P. [1 ]
Palma-Vargas, J. [1 ]
Rosenblatt, S. [1 ]
Wright, F. [1 ]
机构
[1] Texas Transplant Inst, San Antonio, TX 78229 USA
关键词
renal transplant; infection; Mycobacterium tuberculosis; candidiasis; alemtuzumab;
D O I
10.1111/j.1399-3062.2007.00292.x
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Objectives: To report our experience with fungal and mycobacterial (tuberculosis) infection following induction with Campath (alemtuzumab). Methods:We reviewed the database of 477 renal transplant patients induced with alemtuzumab. All those who had a fungal or mycobacterial infection were found, and the details of these complications reviewed. Results: Five patients were found to have fungal (3) or tuberculous (2) infection. The incidence of fungal infection was 0.6% and that of tuberculous infection was 0.4%. Mortality rates for these 2 types of infection were 50% and 100%, respectively. During the same period, there was an overall mortality of 1.7% (n = 5). No surviving patient lost graft function. Conclusion: Although fungal and mycobacterial infections caused significant mortality, the overall incidence remains low and comparable to that associated with other induction agents.
引用
收藏
页码:236 / 239
页数:4
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