Transplantation proceedings最新文献

Narrative Nursing for a Patient Who Experienced Treatment Failure After Allogeneic Hematopoietic Stem Cell Transplantation and Underwent Two Subsequent Transplants: A Case Report.

Transplantation proceedings Pub Date : 2025-02-27 DOI: 10.1016/j.transproceed.2025.02.019

Meijia Li, Xiaodong Xu, Xia Yan

{"title":"Narrative Nursing for a Patient Who Experienced Treatment Failure After Allogeneic Hematopoietic Stem Cell Transplantation and Underwent Two Subsequent Transplants: A Case Report.","authors":"Meijia Li, Xiaodong Xu, Xia Yan","doi":"10.1016/j.transproceed.2025.02.019","DOIUrl":"https://doi.org/10.1016/j.transproceed.2025.02.019","url":null,"abstract":"To summarize the nursing experience of a patient who underwent a second transplantation after the failure of the first allogeneic hematopoietic stem cell transplantation. The patient received personalized narrative nursing care through externalization, deconstruction, rewriting, and reshaping to improve treatment and nursing compliance and to assist in symptom management. Additionally, narrative nursing was applied to provide psychological counseling to the primary caregiver, helping both the patient and their family to establish confidence in overcoming the disease. After careful narrative nursing and symptom management, the patient's white blood cells were successfully engrafted after 57 days of hospitalization, allowing for a smooth transition out of the clean laminar flow ward. After 8 days of treatment in a general ward, the patient's own hematopoiesis recovered, and symptoms such as oral mucositis, nausea, vomiting, and hemorrhagic cystitis improved, leading to a successful discharge. Narrative nursing has a supportive role for patients undergoing a second allogeneic hematopoietic stem cell transplantation and their primary caregivers. It is recommended that future studies construct relevant programs to provide theoretical support for the application of narrative nursing in clinical care.","PeriodicalId":94258,"journal":{"name":"Transplantation proceedings","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stable Outcome After Living Donor Kidney Transplantation Using External Urinary Fistula for a Kidney Graft With Duplicate Ureters: A Case Report. 使用尿道外瘘为双输尿管肾移植进行活体肾移植后的稳定结果：病例报告。

Transplantation proceedings Pub Date : 2025-02-27 DOI: 10.1016/j.transproceed.2025.02.017

Hiroyuki Kumata, Kengo Asami, Tomoaki Tabata, Satoshi Sekiguchi

{"title":"Stable Outcome After Living Donor Kidney Transplantation Using External Urinary Fistula for a Kidney Graft With Duplicate Ureters: A Case Report.","authors":"Hiroyuki Kumata, Kengo Asami, Tomoaki Tabata, Satoshi Sekiguchi","doi":"10.1016/j.transproceed.2025.02.017","DOIUrl":"https://doi.org/10.1016/j.transproceed.2025.02.017","url":null,"abstract":"Background: A kidney with a duplicate ureter used as a graft in kidney transplantation poses a concern about the risk of suture failure at the ureterovesical anastomosis. Many institutions attempted to reduce complications by placing internal fistula stents, such as Double J Stents, at the anastomotic site. We actively place external fistula catheters in these high-risk cases at our hospital.Case presentation: A 65-year-old male patient developed chronic renal failure due to diabetic nephropathy and underwent a preemptive living kidney transplant with his wife as the donor, but the graft contained two duplicate ureters. We established a method to prevent serious complications by inserting an external urinary fistula catheter during ureterovesical anastomosis. The anastomosis and ureter were directly assessed by injecting a contrast medium postoperatively for external urinary fistulas. Distinguishing and measuring the amount of urine from each ureter becomes possible. Additionally, it was useful for urinary training postoperatively. Noteworthily, the catheter can be removed simply by pulling it out and does not require a cystoscope. The patient achieved an uneventful postoperative course and was discharged from the hospital.Conclusions: Inserting an external urinary fistula catheter demonstrated many advantages and will be used effectively in the future.","PeriodicalId":94258,"journal":{"name":"Transplantation proceedings","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Coinfection of HHV 6 and HTLV-I Causing Encephalitis After Autologous Hematopoietic Stem Cell Transplantation: A Case Report and a Systematic Review of the Literature.

Transplantation proceedings Pub Date : 2025-02-27 DOI: 10.1016/j.transproceed.2025.02.022

Alexandre Mestre Tejo, Jacqueline Alves Rena, Camila Malta Romano, Amanda Lopes da Silva, Maria Cássia Mendes-Correa, Tânia Regina Tozetto Mendoza, Hermes Ryoiti Higashino, Bruno Garcia Pires, Vanderson Rocha, Silvia Figueiredo Costa

{"title":"Coinfection of HHV 6 and HTLV-I Causing Encephalitis After Autologous Hematopoietic Stem Cell Transplantation: A Case Report and a Systematic Review of the Literature.","authors":"Alexandre Mestre Tejo, Jacqueline Alves Rena, Camila Malta Romano, Amanda Lopes da Silva, Maria Cássia Mendes-Correa, Tânia Regina Tozetto Mendoza, Hermes Ryoiti Higashino, Bruno Garcia Pires, Vanderson Rocha, Silvia Figueiredo Costa","doi":"10.1016/j.transproceed.2025.02.022","DOIUrl":"https://doi.org/10.1016/j.transproceed.2025.02.022","url":null,"abstract":"Background: A 52-year-old woman with multiple myeloma and asymptomatic human T lymphotropic virus (HTLV)-I infection underwent an autologous stem cell transplantation. Eighteen days after transplantation, she developed fever, headache, ataxia, and tremors. Coinfection of human herpesvirus 6 and HTLV-I encephalitis was diagnosed.Methods: A systematic review of the literature was made. No article about HTLV I/II encephalitis in autologous stem cell transplantation was found. A total of 268 articles were screened and 8 matched the inclusion criteria. One was included by another source. Three of the 9 articles analyzed were excluded and 6 cases of human herpesvirus 6 encephalitis after ASCT were analyzed.Results: The median patient age was 51 years. Multiple myeloma was the most common hematologic disease found. The median time since the hematopoietic stem cells transplantation was 19.5 days. Melphalan-based conditioning therapy was present in 83% of patients. All cerebrospinal fluid presented altered cell count and proteinorachia (median, 68.5 mg/dL). Most patients were treated with ganciclovir or foscarnet. In all cases, patients experienced a complete recovery.Conclusion: HTLV-I encephalitis is an extremely rare disease that should be considered in patients previously infected. Human herpesvirus 6 encephalitis in patients after autologous hematopoietic stem cells transplantation is an uncommon situation but should be remembered in the differential in cases of acute confusional state. Prompt treatment may ensure complete recovery of the patient.","PeriodicalId":94258,"journal":{"name":"Transplantation proceedings","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endobronchial Mycobacterium Avium-Intracellulare Infection in Lung Transplant Recipients.

Transplantation proceedings Pub Date : 2025-02-27 DOI: 10.1016/j.transproceed.2025.02.007

Shamitha Hejmadi, Rutvik Raval, Atul C Mehta

引用次数: 0

Case Report: A Unique Case of Hemophagocytic Lymphohistiocytosis in Heart Transplant.

Transplantation proceedings Pub Date : 2025-02-27 DOI: 10.1016/j.transproceed.2025.02.021

Boaz Elad, Wojciech Rzechorzek, Kelly Axsom, Justin Fried, Farhana Latif, Adil Yunis, Carolyn Hennecken, Rubin Salazar, Kyung T Oh, David L Diuguid, Andrew H Lipsky, Ron S Gejman, Gabriel Sayer, Nir Uriel, Dor Lotan

引用次数: 0

Successful Lung Transplantation in A Patient With Pre-Existing Chronic Myeloid Leukemia Treated With Imatinib: A Case Report.

Transplantation proceedings Pub Date : 2025-02-27 DOI: 10.1016/j.transproceed.2025.02.020

Kemarut Laothamatas, Luke Benvenuto, Mihir Raval, Flora Kim, Philippe H Lemaitre, Joshua R Sonett, Selim M Arcasoy

{"title":"Successful Lung Transplantation in A Patient With Pre-Existing Chronic Myeloid Leukemia Treated With Imatinib: A Case Report.","authors":"Kemarut Laothamatas, Luke Benvenuto, Mihir Raval, Flora Kim, Philippe H Lemaitre, Joshua R Sonett, Selim M Arcasoy","doi":"10.1016/j.transproceed.2025.02.020","DOIUrl":"https://doi.org/10.1016/j.transproceed.2025.02.020","url":null,"abstract":"Although active malignancy is a contraindication to lung transplantation, there is increasing uncertainty as to what constitutes \"active\" malignancy given the rapidly changing therapeutic armamentarium and overall survival of patients with malignancy. Chronic myeloid leukemia (CML) is an example of a previously fatal malignancy that has been transformed into a chronic disease with close-to-normal life expectancy since the advent of tyrosine kinase inhibitor (TKI) therapy. However, it remains relatively unknown if lung transplantation could successfully be performed in patients with CML. We describe the course of a 34-year-old woman with cystic fibrosis and advanced lung disease who was diagnosed with CML while undergoing lung transplant evaluation. She was initiated on imatinib with optimal treatment response; she achieved major molecular response (MMR) and deep molecular response (DMR) at 8 and 10 months of treatment, respectively. She developed progressive respiratory failure and underwent bilateral lung transplantation at close to 3 years after achieving MMR. At 6 years post-transplant, she has excellent graft function and remains in DMR on imatinib. Treated CML in DMR should be regarded as inactive malignancy and should not preclude patients from life-saving transplant consideration. Our case also demonstrates the feasibility of long-term immunosuppression on TKI therapy.","PeriodicalId":94258,"journal":{"name":"Transplantation proceedings","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is Cytomegalovirus (CMV) Associated With Development of Posttransplant Psychosis? A Case Report and Review of the Literature.

Transplantation proceedings Pub Date : 2025-02-26 DOI: 10.1016/j.transproceed.2025.02.009

Kovacic Anja, Koren Andro, Koren Luciana, Kovacic Marta, Krajina Lovro, Basic-Jukic Nikolina

引用次数: 0

Early Diagnosis and Effective Therapy for Encapsulating Peritoneal Sclerosis After Renal Transplantation: A Case Study.

Transplantation proceedings Pub Date : 2025-02-26 DOI: 10.1016/j.transproceed.2025.02.015

Yao-Wei Tsai, Chen-Hao Li, Jui-Hsiu Tsai, Wen-Yao Yin

{"title":"Early Diagnosis and Effective Therapy for Encapsulating Peritoneal Sclerosis After Renal Transplantation: A Case Study.","authors":"Yao-Wei Tsai, Chen-Hao Li, Jui-Hsiu Tsai, Wen-Yao Yin","doi":"10.1016/j.transproceed.2025.02.015","DOIUrl":"https://doi.org/10.1016/j.transproceed.2025.02.015","url":null,"abstract":"Encapsulating peritoneal sclerosis (EPS) is a rare but severe complication of long-term peritoneal dialysis. Characterized by thickening of the peritoneal membrane, EPS leads to bowel encapsulation, ultrafiltration failure, and bowel obstruction. This study describes the case of a 61-year-old man with a history of hypertension and end stage renal disease requiring peritoneal dialysis for ten years who developed EPS after cadaveric renal transplantation. The patient experienced recurrent episodes of abdominal distension, ascites, and ileus starting 10 days after transplantation. Diagnostic imaging and histological examination confirmed EPS, as defined by a podoplanin score of 2 with diffuse accumulation of podoplanin-positive fibroblastic cells in the peritoneal membrane. Early intervention with corticosteroids and tamoxifen led to gradual improvement and stabilization of his condition. This case not only emphasizes the importance of early diagnosis of EPS but also highlights the importance of timely treatment to promote favorable outcomes for patients with this potentially devastating disease.","PeriodicalId":94258,"journal":{"name":"Transplantation proceedings","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Genetic Mutations and Post-Lung Transplant Complications: A Case of Hereditary Transthyretin Amyloidosis. 基因突变与肺移植术后并发症：一例遗传性转甲状腺素淀粉样变性。

Transplantation proceedings Pub Date : 2025-02-26 DOI: 10.1016/j.transproceed.2025.01.007

Sharmistha Dutta, Rutvik Raval, Manas Das, Atul C Mehta

引用次数: 0

Salvage of a Liver Allograft From Procurement Injury: A Case Report on the Reconstruction of the Suprahepatic Inferior Vena Cava With Donor Iliac Vein. 从采购损伤中挽救肝脏异体移植：用捐献的髂静脉重建肝上下腔静脉的病例报告。

Transplantation proceedings Pub Date : 2025-02-26 DOI: 10.1016/j.transproceed.2025.02.011

Jessie G Jiang, Marissa Di Napoli, Yanik J Bababekov, Maria Baimas-George, Michael Wachs

引用次数: 0