Loading…

Late-onset invasive aspergillosis in organ transplant recipients in the current era

We assessed predictive factors and characteristics of patients with late-onset invasive aspergillosis in the current era of novel immunosuppressive agents. Forty transplant recipients with invasive aspergillosis were included in this prospective, observational study initiated in 2003 at our institut...

Full description

Saved in:
Bibliographic Details
Published in:Medical mycology (Oxford) 2006-08, Vol.44 (5), p.445-449
Main Authors: Singh, Nina, Limaye, Ajit P., Forrest, Graeme, Safdar, Nasia, Muñoz, Patricia, Pursell, Kenneth, Houston, Sally, Rosso, Fernando, Montoya, Jose G., Patton, Pamela R., Del Busto, Ramon, Aguado, Jose M., Wagener, Marilyn M., Husain, Shahid
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We assessed predictive factors and characteristics of patients with late-onset invasive aspergillosis in the current era of novel immunosuppressive agents. Forty transplant recipients with invasive aspergillosis were included in this prospective, observational study initiated in 2003 at our institutions. In 50% (20/40) of these patients, the infections were late-occurring. Receipt of sirolimus in conjunction with tacrolimus for refractory rejection or cardiac allograft vasculopathy (P=0.047) was significantly associated with late-onset infection. The use of depleting or non-depleting T or B-cell antibodies, either as induction or as antirejection therapy did not correlate with time to onset of invasive aspergillosis. Mortality at 90 days was 20% (4/20) for the patients with early-onset infection and 45% (9/20) for those with late-onset infection (P=0.17). Thus, nearly one-half of the Aspergillus infections in transplant recipients in the current era are late-occurring. These data have implications relevant for prophylactic strategies and guiding clinical management of transplant recipients presenting with pulmonary infiltrates.
ISSN:1369-3786
1460-2709
DOI:10.1080/13693780600684494