About two months after receiving the donated kidney, a 61 -year -old man returned to the hospital. She was tired, nauseous and vomiting. He was also highly thirsty and was producing too much urine. In the next 10 days, things only deteriorated. Oxygen levels in his blood started falling. His lungs were filled with fluid. He kept vomiting. He could not eat. Doctors put a feeding tube. Their oxygen levels and blood pressure continued to fall. He was admitted to the intensive care unit and placed on mechanical ventilation. Nevertheless, things continued to deteriorate.

At that time, he was transferred to the ICU of Massachusetts General Hospital, where he received transplants. He was in acute respiratory failure and shock.

In A case report in this week issue of New England Journal of MedicineMass General’s doctors told how he determined what was wrong with the man. His first steps were collecting more information about the symptoms of man from his wife, reviewing his family medical history, and the regional organ processes that provide kidney were to contact the organization.

process of elimination

Man’s position and laboratory tests suggested that he had some kind of infection. But as a transplant recipient who was on a variety of immunospressive drugs, the list of infectious possibilities was “broad”.

The clinical director of the hospital transplant, Dr. The chemical cotton and immunocom ordered host infectious Daise Division determined his thinking. He started with the process of elimination. As an immunospressed transplant patient, he was also on several drugs to prevent infections. They will rule with herpeswirus and cytomegalovirus. He was also on a combination of antibiotics that would control many bacterial infections, as well as Fungus Nallaka It attacks immunocomopromeg and Protozoan parasite Toxoplasma gondii,

A characteristic was standing out: The man developed a high level of eosinophil, white blood cells that could increase due to various reasons – including parasitic infections. The man also had red-violet rash on his stomach. Coupled with the severity of his illness, cotton was suspected of a broad parasitic transition.

The history of man was notable for contact with domestic cats and dogs – which included a cat scratch in the time between transplantation and being severely ill. But common bacterial infections associated with cat scratches can be dismissed. And other parasitic infections that can come from domestic animals in the US, such as toxocariasis, usually do not lead such serious diseases.