Invasive Pulmonary Aspergillosis (IPA) Post Hematopoietic Stem Cell Transplant (HSCT): Is Immunological Dysfunction Play a Role?

A. Kuwal, N. Dutt, N. Chauhan
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Abstract

Invasive pulmonary aspergillosis (IPA) is a major cause of morbidity and mortality among patients undergoing hematopoietic stem cell transplant (HSCT). The majority of cases are detected during the period of neutropenia (following conditioning regimen) or immunosuppression (treatment of graft versus host disease). Development of IPA after one-year postHSCT is extremely rare. Here, we report a case of a 43-year-old male who developed IPA two years after an allogenic stem cell transplant and 406 days after stopping the immunosuppressive medication.
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造血干细胞移植(HSCT)后侵袭性肺曲霉病(IPA):免疫功能障碍是否起作用?
侵袭性肺曲霉病(IPA)是接受造血干细胞移植(HSCT)患者发病和死亡的主要原因。大多数病例是在中性粒细胞减少(适应方案)或免疫抑制(移植物抗宿主病治疗)期间检测到的。sct术后一年后出现IPA是极为罕见的。在这里,我们报告了一例43岁的男性,他在同种异体干细胞移植两年后,在停止免疫抑制药物406天后发生了IPA。
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