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CASE REPORT
Year : 2014  |  Volume : 8  |  Issue : 1  |  Page : 28-31

Pneumocystis carinii pneumonia at thirty-eight months after kidney transplantation


1 Resident, Department of Nephrology, Amrita School of Medicine, Kochi, Kerala 682041, India, India<
2 Professor and Head, Department of Nephrology, Amrita School of Medicine, Kochi, Kerala 682041, India
3 Physician Assistant, Department of Nephrology, Amrita School of Medicine, Kochi, Kerala 682041, India
4 Professor, Department of Nephrology, Amrita School of Medicine, Kochi, Kerala 682041, India
5 Associate Professor, Department of Nephrology, Amrita School of Medicine, Kochi, Kerala 682041, India

Correspondence Address:
Vavullipathy N Unni
Professor and Head, Department of Nephrology, Amrita School of Medicine, Kochi, Kerala 682041
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.1016/j.ijt.2014.03.002

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Pneumocystis carinii pneumonia is an infection observed in immunocompromised patients. The risk of infection depends on the intensity and duration of immunosuppression and underlying immune deficits. Prophylaxis with trimethoprim-sulfamethoxazole prevents opportunistic infections due to Pneumocystis carinii, Toxoplasma gondii; in addition to preventing community acquired respiratory, gastrointestinal, and urinary tract infections. The usual presentation of P. carinii is during the first three to six months after transplantation at the peak of immunosuppressive therapy. We describe a case of Pneumocystis jirovecii pneumonia in a renal transplant recipient 38 months after renal transplantation.


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