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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1-2
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pubmed:dateCreated |
1994-4-13
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pubmed:abstractText |
The authors investigated the incidence of pulmonary complications following immunosuppression with monoclonal antibodies (OKT3) in a series of 100 consecutive cases of orthotopic liver transplantation (OLT). Of 17 patients treated with OKT3 (16 for acute rejection and 1 for cyclosporine toxicity), 11 pulmonary infections were observed (65%), 9 of which (53%) with onset within a mean of 9 days after OKT3 administration. The infections were severe in all cases and lethal in 8 cases: the most common pathogens were Candida (4 cases) and Pseudomonas aeruginosa (3 cases). On the contrary, of 39 cases of rejection treated with steroids, infections were observed in 3 cases only (8%). The 53% incidence of pulmonary infections in OKT3 patients, significantly higher than in the extant patients (19%), confirms OKT3 treatment as a strong risk factor for severe pulmonary infections. Furthermore, the occurrence of pulmonary edema was directly related to OKT3 administration in 7 OKT3 patients (41%), whereas only 20 cases (24%) occurred in the extant OLT patients (p < 0.001). OKT3-related pulmonary edema was always observed in hyperhydrated patients at the time of drug administration and it seemed to be related to the vasoactive myocardiotoxic agents released by damaged T-cells.
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pubmed:language |
ita
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0033-8362
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
87
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
58-64
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pubmed:dateRevised |
2008-10-21
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pubmed:meshHeading |
pubmed-meshheading:8128034-Acute Disease,
pubmed-meshheading:8128034-Adolescent,
pubmed-meshheading:8128034-Adult,
pubmed-meshheading:8128034-Child,
pubmed-meshheading:8128034-Graft Rejection,
pubmed-meshheading:8128034-Humans,
pubmed-meshheading:8128034-Immunosuppression,
pubmed-meshheading:8128034-Incidence,
pubmed-meshheading:8128034-Italy,
pubmed-meshheading:8128034-Liver Transplantation,
pubmed-meshheading:8128034-Lung Diseases,
pubmed-meshheading:8128034-Middle Aged,
pubmed-meshheading:8128034-Muromonab-CD3,
pubmed-meshheading:8128034-Postoperative Complications,
pubmed-meshheading:8128034-Pulmonary Edema,
pubmed-meshheading:8128034-Retrospective Studies
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pubmed:articleTitle |
[Pulmonary complications from monoclonal antibody (OKT3) immunosuppression in patients who have undergone an orthotopic liver transplant].
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pubmed:affiliation |
Istituto di Radiologia, II Cattedra, Policlinico S. Orsalo, Bologna.
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pubmed:publicationType |
Journal Article,
Comparative Study,
English Abstract
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