{"title":"心脏移植后患者肺外侵袭性真菌感染1例。","authors":"Biraj Majumder, Manoj Kumar Sahu, Milind Padmakar Hote, Sandeep Seth","doi":"10.1007/s12055-024-01861-z","DOIUrl":null,"url":null,"abstract":"<p><p>Infectious complications remain a lifelong risk after organ transplantation. Invasive fungal infections (IFIs), including fungal brain abscess, in these patients can be very morbid and fatal. Decreased host immunity due to lifelong immunosuppressive therapy is the single most important risk factor for IFIs. Unlike in the general population, IFIs are difficult to diagnose in immunosuppressed patients because of atypical presentations, low yield of pathogens from microbial cultures, and long turnaround time for culture results. Late diagnosis and delayed initiation of treatment may influence the final outcome.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 5","pages":"605-609"},"PeriodicalIF":0.7000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000485/pdf/","citationCount":"0","resultStr":"{\"title\":\"Extra-pulmonary invasive fungal infection in a post-heart transplant patient.\",\"authors\":\"Biraj Majumder, Manoj Kumar Sahu, Milind Padmakar Hote, Sandeep Seth\",\"doi\":\"10.1007/s12055-024-01861-z\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Infectious complications remain a lifelong risk after organ transplantation. Invasive fungal infections (IFIs), including fungal brain abscess, in these patients can be very morbid and fatal. Decreased host immunity due to lifelong immunosuppressive therapy is the single most important risk factor for IFIs. Unlike in the general population, IFIs are difficult to diagnose in immunosuppressed patients because of atypical presentations, low yield of pathogens from microbial cultures, and long turnaround time for culture results. Late diagnosis and delayed initiation of treatment may influence the final outcome.</p>\",\"PeriodicalId\":13285,\"journal\":{\"name\":\"Indian Journal of Thoracic and Cardiovascular Surgery\",\"volume\":\"41 5\",\"pages\":\"605-609\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000485/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Thoracic and Cardiovascular Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s12055-024-01861-z\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/11/30 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Thoracic and Cardiovascular Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12055-024-01861-z","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/30 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Extra-pulmonary invasive fungal infection in a post-heart transplant patient.
Infectious complications remain a lifelong risk after organ transplantation. Invasive fungal infections (IFIs), including fungal brain abscess, in these patients can be very morbid and fatal. Decreased host immunity due to lifelong immunosuppressive therapy is the single most important risk factor for IFIs. Unlike in the general population, IFIs are difficult to diagnose in immunosuppressed patients because of atypical presentations, low yield of pathogens from microbial cultures, and long turnaround time for culture results. Late diagnosis and delayed initiation of treatment may influence the final outcome.
期刊介绍:
The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.