Clinical transplantation
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Clinical transplantation · Apr 1998
Case ReportsOrgan transplantation from donor who died of cyanide poisoning: a case report.
Shortage of donor organs has become on of the most important limiting factors in the field of transplantation. Suitability of organs from patients dying from poisoning is an unexplored area. ⋯ We report a case of cyanide poisoning in which the kidneys and corneas were harvested after the level of poison fell to below lethal concentration. These organs were later transplanted without any evidence of adverse effects at follow-up.
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Clinical transplantation · Apr 1998
Risk factors in bone marrow transplant recipients with leukaemia. Increased relapse risk in patients treated with ciprofloxacin for gut decontamination.
Three hundred and six patients with low- and intermediate-risk leukaemias undergoing allogeneic BMT between 1980 and March 1996 were studied regarding transplantation-related mortality (TRM), relapse, and leukaemia-free survival (LFS). Among the patients were 262 recipients of marrow from HLA-identical siblings and 44 patients receiving marrow from HLA-A, -B, and -DR identical unrelated donors. Between 1986 and 1993, 153 adult patients received ciprofloxacin continuously during Cy conditioning, but since November 1993 ciprofloxacin has not been given until after Cy treatment. ⋯ Overall, LFS at 5 yr was 49%. LFS was evaluated from day 30 after BMT until relapse or death of the patient. We found no difference in TRM, relapse or LFS between recipients of HLA-identical sibling or unrelated bone marrow, risk factors significantly associated with an inferior LFS included acute GVHD grades II-IV (p = 0.0002), intermediate risk disease (p = 0.003), donor seropositivity for 3-4 herpes viruses (p = 0.046), and TBI conditioning (p = 0.048).