Pulmonary complications in 110 consecutive renal transplant recipients

dc.contributor.authorEdelstein, C. L.en_ZA
dc.contributor.authorJacobs, J. C.en_ZA
dc.contributor.authorMoosa, M. R.en_ZA
dc.date.accessioned2011-03-18T14:59:32Z
dc.date.available2011-03-18T14:59:32Z
dc.date.issued1995
dc.descriptionCITATION: Edelstein, C. L., Jacobs, J. C. & Moosa, M. R. 1995. Pulmonary complications in 110 consecutive renal transplant recipients. South African Medical Journal, 85: 160-163.
dc.descriptionThe original publication is available at http://www.samj.org.za
dc.description.abstractThe pulmonary complications in 110 consecutive renal transplant recipients on cyclosporin and low-dose steroid immunosuppression were studied retrospectively. The pulmonary complications were: acute pulmonary oedema in 19 patients, pneumonia in 18, tuberculosis in 9, acute pulmonary embolism in 5, and lung abscess in 1. Sixty-nine patients (62,7%) had no pulmonary complications; 69% of the complication's occurred in the first 4 months after the transplant. Pulmonary tuberculosis became evident later. The mean age, period of follow-up, human leucocyte antigen (HLA) B/DR mismatches, mean serum urea and serum creatinine concentrations, systolic and diastolic blood pressures, and cyclosporin dosage did not differ between the groups with no complications, infectious complications and non-infectious complications. The number of rejection episodes treated with bolus steroids was significantly higher in the infectious and noninfectious complications groups compared with the group with no complications. The incidence of pulmonary complications after renal transplantation, especially pneumonia and tuberculosis, was still high despite the use of low-dose steroids and cyclosporin. Pulmonary complications were the commonest cause of death in the first 3 years after the transplant. A high index of suspicion for pulmonary tuberculosis and pulmonary embolism in these patients is necessary.
dc.description.versionPublisher’s version
dc.format.extent4 pages
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.identifier.urihttp://hdl.handle.net/10019.1/7887
dc.language.isoen
dc.publisherHealth & Medical Publishing Group
dc.rights.holderSouth African Medical Journal
dc.subjectKidneys -- Transplantationen_ZA
dc.titlePulmonary complications in 110 consecutive renal transplant recipientsen_ZA
dc.typeArticle
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