21 May 2009
Inflammatory retinal detachment in patient after renal transplantation with systemic cmv and cryptococcosis
J Brydak-Godowska, D Zygier, J Wyzgał, P Lewandowski, L PączekAnn Transplant 2009; 14(1): 73-73 :: ID: 880469
Abstract
Background: 46-years old female patient underwent renal transplantation in February'1997. In postoperative period acute rejection of the renal transplant was observed. This was a reason for administration of aggressive immunosuppressive therapy. Reactivation of systemic CMV and Cryptococcosis were adverse effects of this therapy.
Material/Methods: Observational case report. Ophthalmological examination, biochemical tests and eye ultrasonography were performed.
Results: Ophthalmologic examination revealed a local CMV retinitis of the left eye which regressed gradually. Ten months later exudative retinal detachment was found in the other part of retina, distant from the site previously observed CMV retinitis. Patient was treated systemicaly with Gancyclovir, Flukonazole and Amofotericin B. Inflammatory changes were resolved and chorioretinal scarrring developed as a result of therapy.
Conclusions: Exudative retinal detachment in patient with CMV retinitis, systemic CMV and Cryptococcosis probably had pluricausal mechanism.
Possible mechanisms of retinal detachment in this patient are discussed.
During 11 years follow-up no ophthalmological problems have been detected.
Keywords: CMV infections, fungal infections, Kidney Transplantation, viral infections, CMV retinitis
In Press
15 Mar 2024 : Review article
Approaches and Challenges in the Current Management of Cytomegalovirus in Transplant Recipients: Highlighti...Ann Transplant In Press; DOI: 10.12659/AOT.941185
18 Mar 2024 : Original article
Does Antibiotic Use Increase the Risk of Post-Transplantation Diabetes Mellitus? A Retrospective Study of R...Ann Transplant In Press; DOI: 10.12659/AOT.943282
20 Mar 2024 : Original article
Transplant Nephrectomy: A Comparative Study of Timing and Techniques in a Single InstitutionAnn Transplant In Press; DOI: 10.12659/AOT.942252
28 Mar 2024 : Original article
Association Between FEV₁ Decline Rate and Mortality in Long-Term Follow-Up of a 21-Patient Pilot Clinical T...Ann Transplant In Press; DOI: 10.12659/AOT.942823
Most Viewed Current Articles
05 Apr 2022 : Original article
Impact of Statins on Hepatocellular Carcinoma Recurrence After Living-Donor Liver TransplantationDOI :10.12659/AOT.935604
Ann Transplant 2022; 27:e935604
12 Jan 2022 : Original article
Risk Factors for Developing BK Virus-Associated Nephropathy: A Single-Center Retrospective Cohort Study of ...DOI :10.12659/AOT.934738
Ann Transplant 2022; 27:e934738
22 Nov 2022 : Original article
Long-Term Effects of Everolimus-Facilitated Tacrolimus Reduction in Living-Donor Liver Transplant Recipient...DOI :10.12659/AOT.937988
Ann Transplant 2022; 27:e937988
15 Mar 2022 : Case report
Combined Liver, Pancreas-Duodenum, and Kidney Transplantation for Patients with Hepatitis B Cirrhosis, Urem...DOI :10.12659/AOT.935860
Ann Transplant 2022; 27:e935860