Gastric aspiration for diagnosis of pulmonary tubercolosis in adult renal allograft recipients.

Abstract:

:Of 213 renal allgraft recipients suspected to have had pulmonary tuberculosis, 132 had sputum examinations and 14 showed acid-fast bacilli. Of the remaining 118 patients, 25 had gastric aspirations, 18 had bronchoalveolar lavage, and 75 did not require further investigation because of spontaneous improvement or confirmation of an alternative diagnosis. While 9 of the 25 patients' gastric aspirate examination was positive, all the 18 who had bronchoalveolar lavage were negative for acid-fast bacilli. Eighty-one patients without expectoration had gastric aspiration directly and 14 showed acid-fast bacilli. Of the remaining 67 patients only 17 had bronchoalveolar lavage, of which three were positive for AFB and the rest did not require further testing for tuberculosis. A total of 106 patients had gastric aspiration. Acid-fast bacillus positivity was significantly more (P<.01) in patients with abnormal chest radiographs as compared with patients with normal chest radiographs as compared with patients with normal chest radiograph results. We suggest gastric aspiration for AFB in all renal transplant recipients who have fever, scanty expectoration, and abnormal chest radiograph with clinical suspicion of pulmonary tuberculosis.

journal_name

Transplantation

journal_title

Transplantation

authors

John GT,Juneja R,Mukundan U,Date A,Vincent L,Jacob CK,Shastry JC

doi

10.1097/00007890-199603270-00023

subject

Has Abstract

pub_date

1996-03-27 00:00:00

pages

972-3

issue

6

eissn

0041-1337

issn

1534-6080

journal_volume

61

pub_type

杂志文章
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    abstract::We present the youngest successful patient with combined heart-lung-liver transplantation. The patient was a 2.5-year-old child with Alagille syndrome suffering from tetralogy of Fallot with pulmonary atresia and multiple aortopulmonary collaterals and familial cholestasis. ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200206270-00024

    authors: Gandhi SK,Reyes J,Webber SA,Siewers RD,Pigula FA

    更新日期:2002-06-27 00:00:00

  • Histologic grading of acute allograft rejection in pancreas needle biopsy: correlation to serum enzymes, glycemia, and response to immunosuppressive treatment.

    abstract:BACKGROUND:Allograft rejection continues to be the most common cause of graft failure in technically successful pancreas transplants. Early diagnosis and treatment of rejection is essential for long-term graft survival. Pancreas graft biopsies are now used routinely for the diagnosis of acute allograft rejection. The c...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199812270-00030

    authors: Papadimitriou JC,Drachenberg CB,Wiland A,Klassen DK,Fink J,Weir MR,Cangro C,Schweitzer EJ,Bartlett ST

    更新日期:1998-12-27 00:00:00

  • IgG antibodies against an HLA antigen are associated with activated cytotoxic T cells against this antigen, IgM are not.

    abstract::Pre-existing alloantibodies against the mismatched HLA-A and HLA-B antigens of the donor, when present in current sera, are believed to be detrimental to kidney graft survival. When these antibodies are present only in historical sera, their immunoglobulin class has reported to be important with respect to the expecte...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199405150-00018

    authors: Roelen DL,van Bree J,Witvliet MD,Habraken I,van Beelen E,van't Sant PH,de Waal LP,van Rood JJ,Claas FH

    更新日期:1994-05-15 00:00:00

  • A schema for histologic grading of small intestine allograft acute rejection.

    abstract:BACKGROUND:Histologic evaluation of small bowel allograft biopsies is important for the diagnosis of acute rejection. However, a standard histologic schema to grade the severity of intestinal acute rejection is not currently available. The primary goal of this study was to develop a histologic grading system for the di...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000062840.49159.2F

    authors: Wu T,Abu-Elmagd K,Bond G,Nalesnik MA,Randhawa P,Demetris AJ

    更新日期:2003-04-27 00:00:00

  • Complement inhibition with an anti-C5 monoclonal antibody prevents hyperacute rejection in a xenograft heart transplantation model.

    abstract:BACKGROUND:The present study was undertaken to determine whether anti-complement 5 (C5) monoclonal antibodies (mAb) prevent hyperacute rejection (HAR) in a rat-to-presensitized mouse heart transplantation model and whether these mAb, combined with cyclosporine (CsA) and cyclophosphamide (CyP), can achieve long-term gra...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199912150-00007

    authors: Wang H,Rollins SA,Gao Z,Garcia B,Zhang Z,Xing J,Li L,Kellersmann R,Matis LA,Zhong R

    更新日期:1999-12-15 00:00:00

  • Rapamycin Prolongs Graft Survival and Induces CD4+IFN-γ+IL-10+ Regulatory Type 1 Cells in Old Recipient Mice.

    abstract:BACKGROUND:Although the elderly represents a rapidly growing population among transplant recipients, age-specific aspects have not been considered sufficiently in clinical trials. Moreover, age-specific effects of immunosuppressive therapies remain poorly understood. METHODS:Here, we assessed the impact of rapamycin o...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001902

    authors: Quante M,Heinbokel T,Edtinger K,Minami K,Uehara H,Nian Y,Azuma H,Abdi R,Elkhal A,Tullius SG

    更新日期:2018-01-01 00:00:00

  • Analysis of Post-Liver Transplant Hepatitis C Virus Recurrence Using Serial Cluster of Differentiation Antibody Microarrays.

    abstract:BACKGROUND:Hepatitis C virus (HCV) reinfection of the liver allograft after transplantation is universal, with some individuals suffering severe disease recurrence. Predictive markers of recurrent disease severity are urgently needed. In this study, we used a cluster of differentiation (CD) microarray to predict the se...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000617

    authors: Rahman W,Tu T,Budzinska M,Huang P,Belov L,Chrisp JS,Christopherson RI,Warner FJ,Bowden DS,Thompson AJ,Bowen DG,Strasser SI,Koorey D,Sharland AF,Yang JY,McCaughan GW,Shackel NA

    更新日期:2015-09-01 00:00:00

  • Factors influencing weight gain after renal transplantation.

    abstract::Weight gain following renal transplantation occurs frequently but has not been investigated quantitatively. A retrospective chart review of 115 adult renal transplant recipients was used to describe patterns of weight gain during the first 5 years after transplantation. Only 23 subjects (21%) were overweight before th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199310000-00008

    authors: Johnson CP,Gallagher-Lepak S,Zhu YR,Porth C,Kelber S,Roza AM,Adams MB

    更新日期:1993-10-01 00:00:00

  • Evaluation of Low- Versus High-dose Valganciclovir for Prevention of Cytomegalovirus Disease in High-risk Renal Transplant Recipients.

    abstract:BACKGROUND:Despite proven efficacy of prolonged cytomegalovirus (CMV) prophylaxis using valganciclovir 900 mg/day, some centers use 450 mg/day due to reported success and cost savings. This multicenter, retrospective study compared the efficacy and safety of 6 months of low-dose versus high-dose valganciclovir prophyla...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0000000000000570

    authors: Gabardi S,Asipenko N,Fleming J,Lor K,McDevitt-Potter L,Mohammed A,Rogers C,Tichy EM,Weng R,Lee RA

    更新日期:2015-07-01 00:00:00

  • Immunobiology of natural killer lymphocytes in transplantation.

    abstract::Natural killer (NK) lymphocytes are powerful effector cells of the peripheral immune system. NK cell functions are controlled by the expression of a variety of cell surface receptors with either inhibitory or activating roles. The genetic and functional diversity of this repertoire of receptors and the role of human l...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.tp.0000123764.10461.4c

    authors: Young NT

    更新日期:2004-07-15 00:00:00

  • Combined immunosuppression with cyclosporine and methotrexate in dogs given bone marrow grafts from DLA-haploidentical littermates.

    abstract::We examined the effect of methotrexate (MTX) combined with cyclosporine (CSP) on the prevention of graft-versus-host disease (GVHD) in dogs. Ten recipients were prepared for grafting with 9 Gy of total-body irradiation and given marrow and buffy coat cells from littermate donors differing for one DLA haplotype (AA lea...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198401000-00017

    authors: Deeg HJ,Storb R,Appelbaum FR,Kennedy MS,Graham TC,Thomas ED

    更新日期:1984-01-01 00:00:00

  • Initial liver involvement in acute GVHD is predictive for nonrelapse mortality.

    abstract:BACKGROUND:Current grading systems in acute graft-versus-host disease (GVHD) are not able to identify patients with poor prognosis at time of onset, because they take into account maximal grade. The aim of this study was to evaluate potential predictors for overall survival at disease onset. METHODS:The study sample w...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181bc2583

    authors: Robin M,Porcher R,de Castro R,Fisher G,de Latour RP,Ribaud P,Petropoulou AD,Rocha V,Devergie A,Mary JY,Socié G

    更新日期:2009-11-15 00:00:00

  • Effect of FK506 treatment on allocytolytic T lymphocyte induction in vivo: differential effects of FK506 on L3T4+ and Ly2+ T cells.

    abstract::Although FK506 has been widely investigated as a potent suppressor of organ allograft rejection in animals, little is known about the effect of FK506 on T cell responses to allografts in vivo. In the present study, we have studied the effect of FK506 on the induction of allocytolytic T lymphocyte using mice primed wit...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199008000-00021

    authors: Maruyama M,Suzuki H,Yamashita N,Yano S

    更新日期:1990-08-01 00:00:00

  • Unrelated donor marrow transplantation between 1977 and 1987 at four centers in the United Kingdom.

    abstract::Retrospectively we analyzed the histocompatibility data and clinical results of bone marrow transplantation in 51 patients who received marrow from unrelated donors (UD) from 1977 to 1987 at one of four UK BMT centers. We compared the results with those obtained in 51 transplants carried out at the same centers using ...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1097/00007890-199003000-00015

    authors: Howard MR,Hows JM,Gore SM,Barrett J,Brenner MK,Goldman JM,Gordon-Smith EC,Poynton C,Prentice HG,Whittaker JA

    更新日期:1990-03-01 00:00:00

  • alpha1,3-Galactosyltransferase-gene knockout in cattle using a single targeting vector with loxP sequences and cre-expressing adenovirus.

    abstract:BACKGROUND:Gene targeting in large animals has the potential to be useful in medicine as well as in agriculture. Previously, we reported the first successful targeting of the bovine alpha1,3-galactosyltransferase (alpha1,3GT) gene and establishment of a heterozygous knockout cell line. In this report, we generated both...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000190422.66657.f1

    authors: Sendai Y,Sawada T,Urakawa M,Shinkai Y,Kubota K,Hoshi H,Aoyagi Y

    更新日期:2006-03-15 00:00:00

  • Transplantation in miniature swine. VII. Evidence for cellular immune mechanisms in hyperacute rejection of renal alografts.

    abstract::Renal allografts were performed in miniature swine that were identical at their major histocompatibility locus and were presensitized by skin grafts from their prospective renal donors. All of these renal grafts were rejected in a hyperacute or markedly accelerated manner compared to the survival of comparable grafts ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Kirkman RL,Colvin RB,Flye MW,Williams GM,Sachs DH

    更新日期:1979-07-01 00:00:00

  • Safety of blood group A2-to-O liver transplantation: an analysis of the United Network of Organ Sharing database.

    abstract:BACKGROUND:ABO-incompatible organ transplantation typically induces hyperacute rejection. A2-to-O liver transplantations have been successful. This study compared overall and graft survival in O recipients of A2 and O grafts based on Organ Procurement and Transplantation Network data. METHODS:Scientific Registry of Tr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31825c591e

    authors: Kluger MD,Guarrera JV,Olsen SK,Brown RS Jr,Emond JC,Cherqui D

    更新日期:2012-09-15 00:00:00

  • The use of a prostacyclin analog, iloprost, as an adjunct to pulmonary preservation with Euro-Collins solution.

    abstract::The addition of prostaglandin to the single-flush technique of lung preservation is considered to enhance subsequent graft function. We have evaluated the use of the prostacyclin analog, Iloprost, in an animal model of unilateral lung transplantation. Group 1 (n = 5) received Iloprost as a pretreatment intravenously (...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199003000-00003

    authors: Hooper TL,Fetherston GJ,Flecknell PA,Dark JH,McGregor CG

    更新日期:1990-03-01 00:00:00

  • Activation of T lymphocytes for adhesion and cytokine expression by toxin-conjugated anti-CD3 monoclonal antibodies.

    abstract:BACKGROUND:Immunosuppressive drugs that target T cells are useful for prolonging allograft survival. The anti-CD3 immunotoxin FN18-CRM9 has been shown to effectively prolong renal allograft survival in a rhesus monkey model of transplantation. However, immunotoxin-treated monkeys showed increased levels of inflammatory...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199909150-00016

    authors: Hamawy MM,Tsuchida M,Manthei ER,Dong Y,Fechner JE,Knechtle JS

    更新日期:1999-09-15 00:00:00

  • Lymphocyte function in patients treated with monoclonal anti-T3 antibody for acute cadaveric renal allograft rejection.

    abstract::We are participating in a multicenter trial testing the efficacy of a murine monoclonal antihuman peripheral T lymphocyte antibody (OKT3.PAN) as immunosuppressive therapy for the treatment of acute cadaveric renal allograft rejection. Although clinical data indicate that administration of this antibody clears the circ...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007890-198411000-00009

    authors: Bowen A,Edwards LC,Gailiunas P,Helderman JH

    更新日期:1984-11-01 00:00:00

  • Preemptive living donor kidney transplantation: do the benefits extend to all recipients?

    abstract:BACKGROUND:Preemptive kidney transplantation (prior to the institution of dialysis) avoids the morbidity and mortality of dialysis; however, detailed studies of high-risk patients are lacking. The aim of the current study was to compare recent outcomes of preemptive (P) versus nonpreemptive (NP) living donor kidney tra...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000250555.46539.65

    authors: Innocenti GR,Wadei HM,Prieto M,Dean PG,Ramos EJ,Textor S,Khamash H,Larson TS,Cosio F,Kosberg K,Fix L,Bauer C,Stegall MD

    更新日期:2007-01-27 00:00:00

  • Current status of clinical islet transplantation.

    abstract::Islet transplantation is currently being explored as a treatment for patients with type 1 diabetes. At present, the number of patients becoming insulin-independent is rapidly increasing world-wide applying the transplantation protocol originally described by the group in Edmonton. A hallmark in this procedure is repea...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.tp.0000157273.60147.7c

    authors: Korsgren O,Nilsson B,Berne C,Felldin M,Foss A,Kallen R,Lundgren T,Salmela K,Tibell A,Tufveson G

    更新日期:2005-05-27 00:00:00

  • The effect of verapamil in reducing the severity of acute tubular necrosis in canine renal autotransplants.

    abstract::Calcium channel blockade has been shown to prevent warm renal ischemic damage. The ability of verapamil to decrease the severity of acute tubular necrosis (ATN) after 24-hr cold storage and autotransplantation was studied in a randomized paired study of 12 dogs. Experimental animals pretreated with intraarterial verap...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198709000-00006

    authors: Agatstein EH,Farrer JH,Kaplan LM,Randazzo RF,Glassock RJ,Kaufman JJ

    更新日期:1987-09-01 00:00:00

  • Improved outcomes of combined liver and kidney transplants in small children (

    abstract:BACKGROUND:Combined liver and kidney transplantation (CLKT) is a surgical challenge in small children because of technical aspects, lack of pediatric donors, and restrictions related to the size of the abdominal cavity. We report outcomes after CLKT in this challenging group of smaller children. METHOD:A review of pro...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181b29f0c

    authors: Perera MT,Silva MA,Sharif K,McKiernan PJ,Kelly DA,Lloyd C,Milford DV,Mayer DA,Mirza DF

    更新日期:2009-09-15 00:00:00

  • Induction of antiidiotypic antibodies by donor-specific blood transfusions. Establishment of a human-mouse hybridoma secreting the MLR-inhibiting factor.

    abstract::We describe a patient transfused with 200 ml of donor fresh whole blood three times at 2-week intervals. Three weeks after the last transfusion, transplantation and splenectomy were done at the same time. Splenic cells from this DST pretreated patient were fused with murine myeloma cells (X63-Ag8, 653). With DST pretr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198909000-00022

    authors: Kawamura T,Sakagami K,Haisa M,Morisaki F,Takasu S,Inagaki M,Oiwa T,Orita K

    更新日期:1989-09-01 00:00:00

  • Donor-specific antibody levels and three generations of crossmatches to predict antibody-mediated rejection in kidney transplantation.

    abstract:BACKGROUND:This study evaluated the prognostic impact of pretransplant donor-specific anti-human leukocyte antigen antibodies (DSA) detected by single-antigen beads and compared the three generations of crossmatch (XM) tests in kidney transplantation. METHODS:Thirty-seven T-cell complement-dependent cytotoxicity cross...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/tp.0b013e3181e36e08

    authors: Riethmüller S,Ferrari-Lacraz S,Müller MK,Raptis DA,Hadaya K,Rüsi B,Laube G,Schneiter G,Fehr T,Villard J

    更新日期:2010-07-27 00:00:00

  • Prolongation of allograft survival in diabetic rats treated with cyclosporine by deoxyguanosine pretreatment of pancreatic islets of Langerhans.

    abstract::In vitro pretreatment of islets of Langerhans with deoxyguanosine (dGuo) has been shown to be effective for the prolongation of islet allograft survival in rats. [This study evaluates the effect of pretreatment of islets with dGuo transplanted into CsA-treated recipients.] Transplantation of dGuo-treated islets from W...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199105000-00007

    authors: al-Abdullah IH,Kumar AM,al-Adnani MS,Abouna GM

    更新日期:1991-05-01 00:00:00

  • Pyruvate inhibits hepatic ischemia-reperfusion injury in rats.

    abstract:BACKGROUND:Ischemia/reperfusion (I/R) injury is a limiting factor in liver transplantation. We have recently shown that pyruvate (PY) inhibits intestinal and renal I/R injury. This study aims to evaluate the protective effect of PY on hepatic I/R injury. METHODS:ACI rats were treated with PY, whereas control animals r...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200107150-00008

    authors: Sileri P,Schena S,Morini S,Rastellini C,Pham S,Benedetti E,Cicalese L

    更新日期:2001-07-15 00:00:00

  • In vivo treatment with antiporcine T cell antibodies.

    abstract::The effects of in vivo administration of monoclonal antibodies directed against the two major mature T cell subsets of miniature swine have been examined. Antibody 76-2-11, specific for the porcine CD8 cell-surface antigen, caused elimination of CD8+ T cells from the peripheral lymphocyte pool by 4-6 days following a ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199007000-00014

    authors: Suzuki T,Sundt TM 3rd,Mixon A,Sachs DH

    更新日期:1990-07-01 00:00:00

  • Human hepatic stellate cells inhibit T-cell response through B7-H1 pathway.

    abstract:BACKGROUND:The liver is an immunologic privileged organ; liver allografts are accepted across major histocompatibility complex barriers in many species. However, hepatocyte transplants are acutely rejected, suggesting a role for liver nonparenchymal cells in regulating the immunoresponse. We have shown potent immunoreg...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318294caae

    authors: Charles R,Chou HS,Wang L,Fung JJ,Lu L,Qian S

    更新日期:2013-07-15 00:00:00