A cool way to say thanks
To express their gratitude for their help, Jim Weingarten and his family decided to call in a shaved-ice truck to give staffers from the Ronald Reagan UCLA Medical Center a cool treat Wednesday. Just two days before, Weingarten, 64, of Diamond Bar was in the hospital, recovering from a double lung transplant that saved his life. Weingarten was suffering from an incurable lung disease, called idiopathic pulmonary fibrosis, which turns the lungs into scar tissue. For four years, he was tethered to an oxygen tank to help him breathe and has been on the transplant list for the past year. On March 7, he was admitted to Reagan UCLA Medical Center with severe respiratory failure due to a respiratory syncytial virus, which caused pneumonia. His prognosis looked uncertain and eventually he was placed on a life support system called extra corporal membrane oxygenation. Then, earlier this month, an offer for a pair of donor lungs came through and he underwent a successful double-lung transplant. His doctor called his survival an “amazing save.” During his almost two-month hospitalization, Weingarten was not able to eat much solid food and craved crushed ice with lime flavoring. So when the family was trying to think of a small way to show their gratitude to all the of doctors, nurses, care team, transplant coordinators, the lift team, housekeeping and others who played a role in saving his life, they decided a fre...
We describe the case of a 67-year old male bilateral lung transplant recipient (LTR) who developed recurrent episodes of multi-drug resistant (MDR) Pseudomonas aeruginosa (PA) pneumonia in the setting of right anastomotic stricture requiring airway stent placement and chronic lung allograft dysfunction. We obtained an emergency Investigational New Drug approval from the US Food and Drug Administration to use sequential bacteriophage combinations (BC) as adjunctive treatment to systemic antibiotics.
The objective of this study was to investigate the epidemiology and the risk factors of post operative pneumonia in recipients beneficing of heart transplantation.
CONCLUSIONS Despite great progress in the management of ARDS, based mostly on advanced mechanical ventilation, early antiviral treatment of pneumonia caused by influenza A (H1N1) and annual vaccinations seem essential in prevention and management of influenza A (H1N1) infection among kidney transplant recipients. PMID: 29599422 [PubMed - in process]
This study analyzed epidemiology and outcome of 175 consecutive...
CONCLUSIONS: We found that mean platelet volume for diagnosis of pneumonia in solid-organ transplant patients was not a promising tool. Considering the difficulties in caring for transplant patients with pulmonary infiltrates, clinical decisions should be based on clinical, laboratory, microbiological, and radiologic findings. PMID: 29528024 [PubMed - in process]
Conclusion: Despite a high percentage of patients who required preoperative intensive care, the transplantation outcomes were acceptable. PMID: 29430425 [PubMed]
Cryptococcus neoformans (wikipedia.org) 2.5 out of 5 stars Cryptococcal meningitis in a daily cannabis smoker without evidence of immunodeficiency. Shapiro BB et al. BMJ Case Rep 2018 Jan 26 [Epub ahead of print] Abstract Can smoking marijuana cause meningitis? The question is not unreasonable. A wide range of pathogenic fungi — including Aspergillus and various Cryptococcus species — have been isolated from dispensary-grade medical marijuana samples. Concern that these pathogens could cause pneumonia or central nervous system infections has focussed on those with immunodeficiency, such...
In this study, we aim to identify early immune predictors to detect allo-LS and find support for activation of the immune system by viral infection.
Conclusions CMV PCR viral load in BAL had a high performance to diagnose CMV pneumonia in lung transplant recipients; plasma CMV viral load did not reliably aid as a diagnostic tool.
S. Basu et al.