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[Infectious complications of heart-lung transplantation]
J P Levasseur1, E Vaissier, R Dorent
1Service de Chirurgie Cardio-Vasculaire et de Transplantation Cardio-Thoracique, Hôpital de la Pitié, Paris.
Abstract:
This study describes the infectious complications in 68 heart-lung transplant patients. We focused interest on early post-transplant infections so called nosocomial pulmonary infections, their exacerbating cofactors their clinical expression, and elements of diagnosis and treatment. Furthermore we describe the principal infections seen during long-term followup, which are opportunist infections caused most often by immunosuppression: Cytomegalovirus infections have a high incidence with serious clinical consequences in heart-lung transplant patients. As well as pneumocystis carinii infections and fungal infections, such as aspergillosis.