Opportunistic Infections in Transplant Patients

Infect Dis Clin North Am. 2019 Dec;33(4):1143-1157. doi: 10.1016/j.idc.2019.05.008.

Abstract

Transplants have become common with excellent patient and graft outcomes owing to advances in surgical technique, immunosuppression, and antimicrobial prophylaxis. In 2017, 34,770 solid organ transplants were performed in the United States. For solid organ transplant recipients, infection remains a common complication owing to the regimens required to prevent rejection. Opportunistic infections, which are infections that are generally of lower virulence within a healthy host but cause more severe and frequent disease in immunosuppressed individuals, typically occur in the period 1 month to 1 year after transplantation. This article focuses on opportunistic infections in the solid organ transplant recipient.

Keywords: BK virus; Cytomegalovirus; Infection; Nocardia; Organ transplant; Polyoma virus; Toxoplasmosis; Transplantation.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Anti-Infective Agents / therapeutic use
  • Humans
  • Immunocompromised Host
  • Opportunistic Infections / etiology*
  • Opportunistic Infections / pathology
  • Organ Transplantation / adverse effects
  • Transplant Recipients*

Substances

  • Anti-Infective Agents