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肾移植术后感染耶氏肺孢子菌合并疱疹病毒1例并文献复习

李泽斌 罗欣雨 林瑾 李年 贝榕榕 胡佳晗

中国真菌学杂志2025,Vol.20Issue(3):280-283,317,5.
中国真菌学杂志2025,Vol.20Issue(3):280-283,317,5.

肾移植术后感染耶氏肺孢子菌合并疱疹病毒1例并文献复习

A case of Pneumocystis jirovecii complicated with herpesvirus following renal transplantation and literature review

李泽斌 1罗欣雨 2林瑾 2李年 3贝榕榕 4胡佳晗5

作者信息

  • 1. 中南大学湘雅三医院外科,长沙 410013
  • 2. 长沙医学院第一临床学院,长沙 410219
  • 3. 望城人民医院内科,长沙 410299
  • 4. 汕头潮南民生医院内科,汕头 515144
  • 5. 长沙湘衡康复医院内科,长沙 410205
  • 折叠

摘要

Abstract

To investigate the clinical manifestations,diagnosis,and treatment of Pneumocystis jirovecii(PJ)complicated by human herpesvirus 5(HHV-5)infection following kidney transplantation,relevant literature alongside domestic and in-ternational reports.A 53-year-old male patient was admitted to the hospital with a fever lasting one day,one year post-kid-ney transplantation.CT scan of the lungs revealed multiple ground-glass opacities in both lungs indicative of pulmonary in-fection,potentially viral and/or fungal infection.Peripheral blood DNA testing confirmed the presence of PJ and HHV-5.of immunosuppressants,continuous high-flow oxygen therapy,meropenemTMP-SMX caspofunginvoriconazole ganciclovir,as well as enhance immunity.Following these interventions,the patient's symptoms improved significantly.Currently,there are few reported cases of renal transplantation complicated by PJ and HHV-5 in clinical settings.Diagnosis primarily relies on DNA detection;however,the slow turnaround time for test results can delay necessary treatment interventions for this con-dition.

关键词

肾移植术后/Pneumocystis jirovecii/HHV-5/肺部感染

Key words

after kidney transplantation/Pneumocystis jirovecii/HHV-5/pulmonary infection

分类

医药卫生

引用本文复制引用

李泽斌,罗欣雨,林瑾,李年,贝榕榕,胡佳晗..肾移植术后感染耶氏肺孢子菌合并疱疹病毒1例并文献复习[J].中国真菌学杂志,2025,20(3):280-283,317,5.

中国真菌学杂志

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