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Acute respiratory failure caused by Penicillium Marneffei infection after Kidney Transplantation:A case report. | LitMetric

Acute respiratory failure caused by Penicillium Marneffei infection after Kidney Transplantation:A case report.

Respir Med Case Rep

Department of General Intensive Care Unit, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Published: November 2024

AI Article Synopsis

  • Penicillium Marneffei (PM) infections can show vague symptoms, but severe respiratory failure is rare; this case discusses a patient who faced this issue after a kidney transplant.
  • The report covers the patient's diagnosis of PM infection and respiratory failure, along with the various treatments used, such as drug therapy and specialized ventilation strategies.
  • Key treatment aspects included balancing bleeding and clotting risks, initiating early nutrition, and progressing to pulmonary rehab exercises, making the case a useful reference for critical care in similar situations.

Article Abstract

Penicillium Marneffei (PM) infections often present with nonspecific clinical manifestations, and severe respiratory failure after infection is particularly uncommon. This case report a patient who developed severe respiratory failure due to PM infection post-kidney transplantation. Additionally, it delves into pertinent treatment measures and nursing strategies. The patient was diagnosed with PM infection, respiratory failure, and post-kidney transplant status. The treatment measures included the drug therapy and dynamic adjustment the application of nitric oxide combined with ECMO-prone position ventilation, balancing bleeding and thrombosis risks, early enteral nutrition and adaptive progression to pulmonary rehabilitation exercises. This case is a valuable reference for critical care in similar conditions.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625331PMC
http://dx.doi.org/10.1016/j.rmcr.2024.102145DOI Listing

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