Page 66 - Toksoplazmoz Tanı ve Tedavi Uzlaşı Raporu
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Toksoplazmoz Tanı ve Tedavi Uzlaşı Raporu


              böbreklerde T. gondii gösterilememiştir. Genel ölüm oranı %64   7.   Montoya JG, Giraldo LF, Efron B, Stinson EB, Gamberg P, Hunt S, et al. In-
            iken, tedavi edilen 11 hastanın 10’u hayatta kalmış ve erken   fectious complications among 620 consecutive heart transplant patients
            tanı ile tedavinin önemi vurgulanmıştır. Böbrek nakli alıcıla-  at Stanford University Medical Center. Clin Infect Dis 2001;33(5):629-40.
                                                                  https://doi.org/10.1086/322733
            rında fulminan dissemine toksoplazmoz vakaları ne yazık ki,   8.   Baden LR, Katz JT, Franck L, Tsang S, Hall M, Rubin RH, et al. Successful
            ölümden sonra beklenmedik bir şekilde teşhis edilmiştir (16).   toxoplasmosis prophylaxis after orthotopic cardiac transplantation with
            Aynı donörden böbrek allogreftlerinin iki alıcısında akut tok-  trimethoprim-sulfamethoxazole. Transplantation 2003;75(3):339-43.
            soplazmoz meydana geldiği gösterilirken, koryoretinit, böbrek   https://doi.org/10.1097/01.TP.0000044864.99398.F1
            nakli yapılan bir hastada toksoplazmozun ortaya çıkan belirtisi   9.   Muñoz P, Arencibia J, Rodríguez C, Rivera M, Palomo J, Yañez J, et al. Tri-
            olarak rapor edilmiştir.                              methoprim-sulfamethoxazole  as  toxoplasmosis  prophylaxis  for  heart
                                                                  transplant recipients. Clin Infect Dis 2003;36(7):932-3; author reply 3.
            Pneumocystis  pnömonisini  önlemek  için  öncelikle  transplan-  https://doi.org/10.1086/368209
            tasyon  ekipleri  tarafından  kullanılan  TMP-SMX  profilaksisi,   10.   Wreghitt TG, Gray JJ, Pavel P, Balfour A, Fabbri A, Sharples LD, et al. Effica-
            toksoplazmozun önlenmesinde başarılı olmuştur. Profilaksiye   cy of pyrimethamine for the prevention of donor-acquired Toxoplasma
            geç başlamak, transplantasyondan hemen sonra yeterli profi-  gondii infection in heart and heart-lung transplant patients. Transpl Int
            laksiye başlanması durumu ile karşılaştırıldığında, beklenen-  1992;5(4):197-200. https://doi.org/10.1111/j.1432-2277.1992.tb01745.x
            den çok daha fazla toksoplazmoz vakasıyla sonuçlanabilir.   11.   Kauffman HM, McBride MA, Delmonico FL. First report of the United
            Bu sorun, risk altındaki hastaların PZR ile izlenmesinin ve bu   Network for Organ Sharing Transplant Tumor Registry: Donors with
                                                                  a history of cancer. Transplantation 2000;70(12):1747-51. https://doi.
            hastalarda profilaksi için ek ilaçların belirlenmesinin önemini   org/10.1097/00007890-200012270-00014
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                                                                  vated toxoplasma infection in patients with cardiac transplants. Clinical
            KaynaKlar                                             spectrum and problems in diagnosis in a defined population. Ann Intern
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