Lungs are the most frequent target of infection in transplant recipients. From November 1985 to December 1992, 43 of the 275 heart transplant recipients, transplanted at the Cardiac Surgery Department of I.R.C.C.S. Policlinico San Matteo - Pavia, experienced 50 lung infections. In 4 (9%) of these patients the initial lung consolidation rapidly progressed to cavitation. Etiological diagnosis has always been reached by TC-guided percutaneous biopsy of pulmonary lesions with contemporary positioning of drainage tubes. Cultures performed on the collected specimens allowed the isolation of Bacteroides ovatus and Streptococcus morbillorum, Citrobacter freundii and Bacteroides asaccharoliticus, Bacteroides sp and Legionella pneumophila. Three patients were succesfully treated with piperacillin and aminoglycosides associated with daily washing of abscessual cavities; pefloxacin and erythromycin were the drug administered to the patient with legionellosis.
|Translated title of the contribution||Necrotizing pneumoniae in heart transplant recipients|
|Number of pages||4|
|Journal||Giornale di Malattie Infettive e Parassitarie|
|Publication status||Published - 1994|
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