Pulmonary Nocardiosis Developed in a Hematopoietic Stem Cell Transplant Recipient with Bronchiolitis Obliterans
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概要
- 論文の詳細を見る
The chronic graft-versus-host disease often requires unceasing immunosuppressive therapy (IST), which increases a risk of infectious complications in hematopoietic stem cell transplantation (HSCT) recipients. We report an adult T-cell leukemia/lymphoma case who developed pulmonary nocardiosis, a rare pulmonary complication, after allogeneic HSCT despite administration of the prophylactic trimethoprim-sulfamethoxazole (TMP/STX). The inhaled corticosteroid in addition to systemic IST had been started for bronchiolitis obliterance 4 months prior to nocardiosis development. The patient was successfully treated with an increased dose of TMP/STX combined with meropenem. Transplantation physicians should keep this rare pulmonary complication in mind during sustained IST.
著者
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Miyamoto Toshihiro
Medicine And Biosystemic Science Kyushu University Graduate School Of Medical Sciences
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KAMEZAKI Kenjiro
Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences
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TAKENAKA Katsuto
Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences
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AKASHI Koichi
Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences
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Iwasaki Hiromi
Center For Cellular And Molecular Medicine Kyushu University Graduate School Of Medical Sciences
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Takenaka Katsuto
Medicine And Biosystemic Science Kyushu University Graduate School Of Medical Sciences
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Akashi Koichi
Medicine And Biosystemic Science Kyushu University Graduate School Of Medical Sciences
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Teshima Takanori
Center For Cellular And Molecular Medicine Kyushu University Hospital
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Harada Naoki
Medicine And Biosystemic Science Kyushu University Graduate School Of Medical Sciences
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Mori Yasuo
Medicine And Biosystemic Science Kyushu University Graduate School Of Medical Sciences
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Miyawaki Kohta
Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences
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Nishida Ruriko
Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences
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Tokuyama Takahito
Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences
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Nagasaki Yoji
Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences
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Oka Hideyo
Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences
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Saito Noriyuki
Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences
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