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Case Reports
A 42-Year-Old Woman With Anemia, Shock, and Ischemic Stroke After Lung Transplantation.
- Abhishek Biswas, Ali Ataya, Juan C Salgado, Satish Chandrasekharan, Tiago N Machuca, and Amir M Emtiazjoo.
- Division of Pulmonary Critical Care and Sleep Medicine, University of Florida, Gainesville, FL.
- Chest. 2017 Mar 1; 151 (3): e63-e68.
Case PresentaionA 42-year-old woman with mixed connective tissue disease-associated interstitial lung disease underwent bilateral lung transplantation. She had an uneventful surgery and was extubated 3 h later. Induction immunosuppression therapy included methylprednisolone 500 mg intraoperatively, basiliximab (anti-IL-2 monoclonal antibody) on days 0 and 4 after transplantation, and methylprednisolone 125 mg intravenously bid for 2 days following surgery. Maintenance immunosuppression therapy consisted of prednisone 20 mg daily, mycophenolate mofetil 750 mg bid, and enteral tacrolimus 0.5 mg bid. Both the donor and the recipient were seropositive for cytomegalovirus. Infectious disease prophylaxis consisted of valganciclovir, trimethoprim-sulfamethoxazole, and voriconazole.Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
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