移植医療における深在性真菌症

DOI PubMed 参考文献9件
  • 木内 哲也
    名古屋大学附属病院移植外科 名古屋大学大学院病態外科学講座

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タイトル別名
  • Invasive Mycosis in Solid Organ Transplantation

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Invasive mycosis in solid organ transplantation is mainly caused by Candida and Aspergillus, and its risk is higher in small bowel, liver, pancreas, and lung transplantation. Although limited analyses propose not a few risk factors for invasive mycosis in respective transplanted organs, the efficacy of prophylactic use of antifungal agents or preemptive treatments based on the information is not fully supported by prospective randomized controlled clinical data. The final guideline should be helpful for tailor-made evidence-based management based on the stratification of patients by pretransplant, surgical, immunosuppressive and organ specific characteristics. The process of repeated proposals and verification in a large number of patients is necessary.

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