Observational Study
Copyright ©The Author(s) 2024.
World J Clin Cases. May 26, 2024; 12(15): 2542-2550
Published online May 26, 2024. doi: 10.12998/wjcc.v12.i15.2542
Table 1 Clinical characteristics of 10 patients with severe pneumonia after solid organ transplantation
Recipient
Gender
Age
Type of transplanted organ
Transplant time
1Male46Renal transplantation27 d
2Male63Renal transplantation5 months
3Female34Renal transplantation13 months
4Male55Liver transplantation7 d
5Male56Renal transplantation4 months
6Female27Renal transplantation5 months
7Female55Renal transplantation3 months
8Male60Renal transplantation16 yr
9Male27Renal transplantation4 months
10Female40Renal transplantation7 yr
Table 2 Treatment protocols of 10 patients with severe pneumonia after solid organ transplantation
Recipient
Treatment protocols
1Carrimycin + Vancocin + Levofloxacin
2Carrimycin + Amphotericin B
3Carrimycin + Caspofungin + Trimethoprim-sulfamethoxazole
4Carrimycin + Meropenem + Linezolid + Caspofungin
5Carrimycin + Ganciclovir + Moxifloxacin + Trimethoprim-sulfamethoxazole + Peramivir
6Carrimycin + Caspofungin + Piperacillin sodium and tazobactam sodium + Imipenem + Trimethoprim-sulfamethoxazole
7Carrimycin + Meropenem + Azithromycin + Caspofungin
8Carrimycin + Moxifloxacin + Ganciclovir + Peramivir + Imipenem + Piperacillin sodium and tazobactam sodium + Tigecycline + Linezolid + Fluconazole
9Carrimycin + Caspofungin + Trimethoprim-sulfamethoxazole + Imipenem + Moxifloxacin
10Carrimycin + Imipenem + Ganciclovir + Voriconazole
Table 3 Pathogens of 10 patients with severe pneumonia after solid organ
Recipients
Pathogens
1Legionnella + Corynebacterium striatum
2Mucor
3Pneumocystis jirovecii
4Baumanii + Staphylococcus epidermidis
5Pneumocystis jirovecii + Cytomegalovirus
6Pneumocystis jirovecii
7Haemophilus parainfluenzae + Mycoplasma
8Acinetobacter + Coronavirus
9Acinetobacter
10Aspergillus
Table 4 Outcomes of 10 patients with severe pneumonia after solid organ transplantation
Recipient
Outcome of transplants
Clinical outcomes
1RemoveAbandoning treatment
2NormalCure
3NormalDeath
4NormalCure
5NormalCure
6NormalAbandoning treatment
7NormalCure
8NormalCure
9NormalCure
10NormalCure
Table 5 Antibacterial spectrum of carrimycin found so far
Pathogens
Antimicrobial spectrum
Gram-positive bacteriumStreptococcus pneumoniae, Streptococcus pyogenes, Streptococcus agalactiae, Streptococcus digestae, Other Streptococcus, Staphylococcus aureus, Legionella pneumophila
Gram-negative bacteriumHaemophilus influenzae, Moraxella catarrh, Neisseria gonorrhoeae
AnaerobeDigestococcus, Bacteroid, Clostridium, Prevotella, Propionibacterium
Atypical pathogensMycoplasma pneumoniae, Ureaplasma urealyticum, Chlamydia trachomatis, Chlamydia pneumonia