Pulmonary Complications in Renal Transplantation.
10.3348/jkrs.2003.48.4.317
- Author:
Jung Bin CHOI
1
;
Yo Won CHOI
;
Seok Chol JEON
;
Choong Ki PARK
;
Seung Rho LEE
;
Chang Kok HAHM
;
Kyung Bin JOO
Author Information
1. Department of Diagnostic Radiology, College of Medicine, Hanyang University. ywchoi@hanyang.ac.kr
- Publication Type:Original Article
- Keywords:
Kidney, transplantation;
Lung, infection;
Lung, neoplasms
- MeSH:
Bacteria;
Chickenpox;
Chlamydia;
Diagnosis, Differential;
Fungi;
Humans;
Kidney Transplantation*;
Lung;
Lung Neoplasms;
Pulmonary Edema;
Sarcoma, Kaposi;
Thorax;
Tuberculosis
- From:Journal of the Korean Radiological Society
2003;48(4):317-321
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the radiographic and CT findings of pulmonary complications other than pulmonary edema arising from renal transplantation. MATERIALS AND METHODS: Among 393 patients who had undergone renal transplantation at our hospital during a previous ten-year period, 23 with pulmonary complications other than pulmonary edema were included in this study. The complications involved were infection caused by CMV (n=6), bacteria (n=4), fungus (n=4), tuberculosis (n=2), varicella (n=1) or chlamydia (n=1), and malignancy involving lung cancer (n=4) or Kaposi's sarcoma (n=1). Two chest radiologists reviewed all images. RESULTS: The complications manifesting mainly as pulmonary nodules were lung cancer(4/4), tuberculosis (1/2), and Kaposi's sarcoma(1/1). Pulmonary consolidation was a main feature in bacterial infection(4/4), fungal infection(3/4), tuberculosis(1/2), chlamydial infection(1/1), and varicellar pneumonia(1/1). Ground-glass attenuation was a main CT feature in CMV pneumonia(4/6), and increased interstitial marking was a predominant radiographic feature in CMV pneumonia(2/6). CONCLUSION: The main radiologic features described above can be helpful for differential diagnosis of the pulmonary complications of renal transplantation.
