来自脑死亡已故的活跃结核病捐赠者的脏移植
Marta Kovacic1, Andro Koren1, Luciana Koren1
1School of Medicine, University of Zagreb, Zagreb, Croatia.
Transplantation proceedings
|August 12, 2025
概括
结核病 (TB) 是一个全球性的威胁,尤其对移植患者来说. 这一案例凸显了结核病从受感染的器官捐赠者传播到接受者的风险,即使在已故捐赠后也是如此.
科学领域:
- 医学 医学 医学 医学 医学
- 传染性疾病 传染性疾病
- 移植 移植 移植 移植
背景情况:
- 结核病 (TB) 仍然是一个重大的全球卫生挑战,对免疫力低下的人构成持续的风险.
- 器官移植接受者特别容易感染机会性感染,如结核病.
- 结核病的传播途径包括标准的人与人接触,并且在移植病例中唯一的传播途径是通过受感染的捐赠器官传播.
研究的目的:
- 报告一个从已故捐赠者传染结核病的病例到两个移植接受者.
- 强调捐赠者查传染病,包括结核病的重要性.
主要方法:
- 以后回顾的案例审查.
- 对捐赠者和接受者的医疗记录进行分析.
- 对结核病查方案的审查.
主要成果:
- 两次脏移植是使用一个已故捐赠者的器官进行的.
- 捐赠者被诊断出患有活性肺结核.
- 这两位接受者在移植后患上了结核病,这表明了来自捐赠者的传播.
结论:
- 已故的活跃结核病捐赠者可以将感染传播给器官接受者.
- 严格查已故的捐赠者是否患有结核病等传染病至关重要,以防止传播.
- 这一案例强调了对移植传染病协议的高度警的必要性.
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