Table 1.
Variable | N (%) or median (range) |
---|---|
Male/female | 9 / 8 (53%/47%) |
Median age, years (range) | 40 (24-63) |
Kidney transplant type | |
Living donor | 1 (6%) |
Deceased donor | 14 (82.3%) |
Kidney-pancreas | 2 (11.7%) |
Second transplant | 3 (17.6%) |
Opportunistic infections and other co-morbidities | |
Cytomegalovirus within 6 months before the diagnosis of PCP | 3 (17.6%) |
Systemic lupus erythematosus (SLE) | 2 (11.8%) |
Diabetes mellitus | 7 (41.2%) |
Change or modulation of immunosuppression within 6 months before the diagnosis of PCP | 4 (23.5%) |
Rejection within 6 months before diagnosis of PCP | 5 (29.4%) |
Immunosuppressive drugs | |
Calcineurin inhibitor | 13 (76.4%) |
Corticosteroid | 17 (100%) |
Azathioprine | 3 (17.6%) |
Mycophenolate preparation | 13 (76.4%) |
Sirolimus | 1 (5.9%) |
Median time, months, from transplant to diagnosis of PCP | 30 (4-75) |
Mean duration, days, of respiratory symptoms | 16 (1-86) |
Cough | 15 (88.2%) |
Dyspnea | 16 (94.1%) |
Fever | 13 (76.5%) |
Diagnosis | |
Direct detection by toluidine blue O staining in bronchoalveolar lavage | 0 (0%) |
Transbronchial biopsy | 9 (52.9%) |
Open lung biopsy | 8 (47.1%) |
ICU admission | 16 (94.1%) |
Intubation | 12 (70.6%) |
Death | 6 (35.3%) |
ICU = intensive care unit.