LIPOSOMAL AMPHOTERICIN-B IN 3 LUNG-TRANSPLANT RECIPIENTS

Background: Opportunistic fungal infections are an important cause of morbidity and mortality in solid organ transplant recipients. Conventional therapy with amphotericin B is often restricted by toxicity. However, side effects and toxicity of liposomal amphotericin B are reported to be limited. Methods: Three lung transplant recipients with proven infections with Aspergillus fumigatus were treated with liposomal amphotericin B. Results: Therapy with liposomal amphotericin B in our patients showed more side effects and (nephro)toxicity than suggested by previous reports. However, it did not result in cessation of treatment prematurely, and patients were able to complete the antifungal therapy with good clinical success. Conclusions: Treatment with liposomal amphotericin B represents an advance from conventional amphotericin B therapy

SPONTANEOUS PNEUMOPERICARDIUM RELATED TO ACTIVE CYTOMEGALOVIRAL INFECTION IN A LUNG-TRANSPLANT RECIPIENT

Spontaneous pneumopericardium occurred in a patient almost 4 weeks after bilateral lung transplantation for cystic fibrosis. The patient had no specific complaints and was in stable haemodynamic condition. We suggest that this pneumopericardium was related to a concomitant active cytomegalovirus (CMV) infection. After treatment of the CMV infection, the pneumopericardium resolved spontaneously