|
PJP-Patients (n = 49) |
Age (years) |
53.5 ± 15.3 |
Male |
36 (73.5%) |
Mean interval KT-PJP (months), median [Q1; Q3] |
13.4 [7.3; 54.4] |
Baseline graft function (eGFR, MDRD, ml/min/1.73 m2), mean ± SD |
40.4 ± 17.1 |
Immunosuppression features
|
Retransplantation |
10 (20.4%) |
Induction treatment |
Anti-thymocyte globulin
|
30 (61.2%) |
CD25 monoclonal antibody
|
19 (38.8%) |
Immunosuppressive regimen |
Steroid
|
36 (77.6%) |
CNI
|
46 (93.9%) |
MMF
|
41 (83.7%) |
mTOR inhibitor
|
8 (16.3%) |
Azathioprine
|
1 (2.0%) |
Acute rejection (before PJP) |
10 (20.4%) |
Opportunistic infection (before PJP) |
14 (28.6%) |
Comorbidities
|
Pre-transplant diabetes |
9 (18.4%) |
New onset diabetes after transplantation |
3 (6.1%) |
Heart failure |
5 (10.2%) |
Chronic lung disease |
4 (8.2%) |
Parathyroidectomy (before transplantation) |
2 (4.1%) |
Symptoms at the hospital admission
|
Febrile dyspnea |
25 (51.0%) |
Isolated fever |
2 (4.1%) |
Non febrile respiratory symptoms |
16 (32.7%) |
Non febrile alteration of general condition |
6 (12.2%) |
Biological presentation at the hospital admission, mean ± SD
|
Corrected calcium serum levels (mg/dL) |
10.0 ± 1.3 |
Serum Phosphorous levels (mg/dL) |
3.7 ± 0.1 |
Serum PTH levels (pg/mL) |
67.9 ± 20.2 |
CD4+ T lymphocytes (109/L) |
377 ± 298 |
C-reactive protein (mg/dL) |
5.9 ± 4.5 |
Microbiologic data
|
Pneumocystis identification, n (%) |
Positive PCR
|
49 (100%) |
Microscopic ascus identification and positive PCR
|
16 (32.7%) |
PJP Treatment
|
Time to specific anti-infectious treatment initiation (days), median [Q1; Q3] |
3 [1; 7] |
Treatment duration, mean ± SD (days) |
19.0 ± 6.9 |
TMP-SMX dose, mean ± SD (mg/kg/day) |
42.6 ± 21.2 |
TMP-SMX discontinuation for adverse event, n(%) |
10 (20.4) |
Concomitant complications to PJP
|
Hypercalcemia, n (%) |
18 (36.7%) |
Acute kidney injury, n (%) |
37 (75.6%) |
Oxygen dependence, n (%) |
12 (24.5%) |
Transfer to Intensive Care Unit, n (%) |
7 (14.3%) |