Analysis of Radiological Manifestations of Pulmonary Infections in Renal Transplant Recipients
Journal Title: PARIPEX-Indian Journal of Research - Year 2016, Vol 5, Issue 7
Abstract
Background : Pulmonary infection remains as an important source of morbidity and mortality in renal transplant recipients. In most of the cases, clinical findings are atypical and nonspecific. Cultures are expensive and time-consuming. Hence imaging plays an important role in establishing the diagnosis, Differential diagnosis, treatment and follow up of pulmonary infections in renal transplant recipients. Aim: To estimate the radiologic manifestations of pulmonary infection in renal transplant recipients. Methods and Material:This study was a prospective study of 29 adult renal transplant recipients who had developed pulmonary infection during the period of 2 years. The chest x-ray and High resolution computer tomography (HRCT) chest examinations were done and interpreted by two radiologists independently.Results:29 renal transplant patients reported with respiratory symptoms were admitted for inpatient care. 23 patients were male and 6 were females.The age range was 18 years to 53 years of age and the mean age of the patients was 31.8 years. Of the 29 patients, 27 reported once, 1 reported twice and another thrice. A total of 32 episodes of respiratory infection were studied. On analyzing radiological manifestations of pulmonary infection, 23 (71.87% ) patients had presented as air space opacities / consolidation, 4 ( 12.4% ) patients had presented as pleural effusion, 1 patient (3.1%) each of miliary nodules and Fibro cavity and was normal in 2 ( 6.2% ) patients. Conclusion:In conclusion, renal transplantation is associated with a high risk of respiratory infections, which may result in morbidity and mortality of renal transplant recepients. Correlating the radiologic manifestations with clinical symptoms can hasten the diagnosis and appropriate therapy.
Authors and Affiliations
DR . A. SUNDARARA JAPERUMAL, DR. G. SANGAMITHRA
Keywords
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