Varicella zoster infection in renal transplant recipients: prevalence, complications and outcome

Varicella zoster virus (VZV) is an important pathogen after renal transplantation. In the present study, we examined the prevalence, clinical presentation and outcome of VZV infections in renal transplant recipients. Charts and medical records of adult renal allotransplant recipients were investigated to find patients with VZV infection. From December 1972 until July 2010, 1,139 patients received kidney allograft at our institution. VZV infection was diagnosed in 40 patients (3.51%). 28 patients (70%) had intensified immunosuppression prior to VZV infection occurrence. Median time of onset was 2.13 years after transplantation (range 9 days to 19.2 years). 35 patients developed VZV during the first post-transplant year (median 0.61 years). Four patients developed VZV infection more than 12 years after transplantation. 33 patients (82.5%) had dermatomal distribution, 5 (12.5%) disseminated herpes zoster (HZ), and 2 patients (5%) who were VZV IgG-negative before transplantation, developed chickenpox. Immunosuppression was reduced and patients received acyclovir. Cutaneous scarring was recorded in 7 cases (17.5%). Two patients developed post-herpetic neuralgia, which was accompanied by scarring and skin depigmentation in 1 of them. Five patients (12.5%) experienced relapse of HZ. Timely initiation of therapy may prevent development of complications and the visceral form of disease. Based on our experience with development of chickenpox, we suggest active immunization for all seronegative patients before organ transplantation

Enhancing superconducting properties of MgB2 pellets by addition of amorphous magnetic Ni-Co-B nanoparticles

Amorphous magnetic Ni-Co-B nanoparticles with an average size of 5 nm were added to precursor powders of MgB2 superconductor. The preparation procedure for MgB2 pellets was optimized for obtaining the best critical current density (Jc) at elevated magnetic fields. Addition of Ni-Co-B decreases the Jc for heat treatment of precursor powders at 650 ° C. Heat treatments at 770 ° C and higher improve Jc at 20 and 5 K. This improvement occurs at both temperatures through the increase of the effective connectivity between MgB2 crystals. Vortex pinning was enhanced at 5 K, but not at 20 K. Ni-Co-B nanoparticles reacted with Mg in heat treatments above 730 ° C, forming Mg2Ni and MgCo2 nanoparticles. Ni-Co-B addition was associated with lower oxygen content in MgB2, indicating that reduction of MgO content is the mechanism for improvement of grain connectivity. Decomposition of magnetic Ni-Co-B nanoparticles results mostly in non-magnetic nanoparticles, so magnetic pinning did not occur in our samples