Epidemiological and clinical study of microsporidiosis in French kidney transplant recipients from 2005 to 2019: TRANS‐SPORE registry
| العنوان: | Epidemiological and clinical study of microsporidiosis in French kidney transplant recipients from 2005 to 2019: TRANS‐SPORE registry |
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| المؤلفون: | Dumond, Clément, Aulagnon, Florence, Etienne, Isabelle, Heng, Anne‐Elisabeth, Bougnoux, Marie‐Elisabeth, Favennec, Loic, Kamar, Nassim, Iriart, Xavier, Pereira, Bruno, Büchler, Mathias, Desoubeaux, Guillaume, Kaminski, Hannah, Lussac‐Sorton, Florian, Gargala, Gilles, Anglicheau, Dany, Poirier, Philippe, Scemla, Anne, Garrouste, Cyril, Labbe, Franck, Damiani, Céline, Le Govic, Yohann, Totet, Anne, De Gentile, Ludovic, Lemoine, Jean‐Philippe, Bellanger, Anne Pauline, Accoceberry, Isabelle, Delhaes, Laurence, Gabriel, Frédéric, Millet, Pascal, Le Gal, Solène, Nevez, Gilles, Bonhomme, Julie, Capitaine, Agathe, Demar, Magalie, Moniot, Maxime, Nourrisson, Céline, Angebault, Cécile, Botterel, Françoise, Foulet, Françoise, Basmaciyan, Louise, Dalle, Frédéric, Valot, Stéphane, Desbois‐Nogard, Nicole, Robert, Gladys, Deleplancque, Anne‐Sophie, Frealle, Emilie, Leroy, Jordan, Ajzenberg, Daniel, Durieux, Marie‐Fleur, Chapey‐Picq, Emmanuelle, Dupont, Damien, Menotti, Jean, Rabodonirina, Meja, Lollivier, Coralie, Bastien, Patrick, Debourgogne, Anne, Machouart, Marie, Lavergne, Rose‐Anne, Morio, Florent, Delaunay, Pascal, Pomares, Christelle, Simon, Loïc, Sasso, Milène, Argy, Nicolas, Houze, Sandrine, Yera, Hélène, Dannaoui, Eric, Sitterle, Emilie, Kapel, Nathalie, Tantaoui, Ilhame, Thellier, Marc, Belkadi, Ghania Belkacem, Moreno‐Sabater, Alicia, Hamane, Samia, Nicolas, Muriel, Perraud, Estelle, Chemla, Cathy, Villena, Isabelle, Autier, Brice, Costa, Damien, Flori, Pierre, Brunet, Julie, BERRY, Antoine, Chesnay, Adélaïde, Artur, Fabienne, Verdurme, Laura, Foulquier, Jean‐Baptiste, Prigent, Gwenole, Chatelain, Rémi, Lesthelle, Sophie |
| المساهمون: | Groupe d'Étude des Interactions Hôte-Pathogène (GEIHP), Université d'Angers (UA), SFR UA 4208 Interactions Cellulaires et Applications Thérapeutiques (ICAT), Laboratoire de Parasitologie et Mycologiede [CHRU Brest], Centre Hospitalier Régional Universitaire de Brest (CHRU Brest), CHU Clermont-Ferrand, CHU Necker - Enfants Malades [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), CHU Rouen, Normandie Université (NU), Institut Toulousain des Maladies Infectieuses et Inflammatoires (Infinity), Université Toulouse III - Paul Sabatier (UT3), Université de Toulouse (UT)-Université de Toulouse (UT)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Centre Hospitalier Universitaire de Toulouse (CHU Toulouse), CHU Trousseau [Tours], Centre Hospitalier Régional Universitaire de Tours (CHRU Tours), CHU Bordeaux [Bordeaux], Infection Inflammation et Interaction Hôtes Pathogènes [CHU Clermont-Ferrand] (3IHP ), Direction de la recherche clinique et de l’innovation [CHU Clermont-Ferrand] (DRCI), CHU Clermont-Ferrand-CHU Clermont-Ferrand, Université Clermont Auvergne (UCA), Centre Hospitalier Universitaire de Reims (CHU Reims), Epidémiosurveillance de protozooses à transmission alimentaire et vectorielle (ESCAPE), Université de Reims Champagne-Ardenne (URCA)-Université de Rouen Normandie (UNIROUEN), Normandie Université (NU)-Normandie Université (NU)-Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES) |
| المصدر: | Transplant Infectious Disease Transplant Infectious Disease, Wiley, 2021, 23 (5), ⟨10.1111/tid.13708⟩ Transplant Infectious Disease, 2021, 23 (5), ⟨10.1111/tid.13708⟩ |
| بيانات النشر: | HAL CCSD, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Opportunistic infection, [SDV]Life Sciences [q-bio], 030230 surgery, Microsporidiosis, Gastroenterology, Albendazole, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, parasitic diseases, medicine, Humans, Enterocytozoon bieneusi, Fumagillin, Registries, Kidney transplantation, ComputingMilieux_MISCELLANEOUS, Aged, 0303 health sciences, Transplantation, biology, 030306 microbiology, business.industry, Enterocytozoon, Middle Aged, Spores, Fungal, fumagillin, medicine.disease, biology.organism_classification, Kidney Transplantation, 3. Good health, immunosuppressive regimen, Diarrhea, Infectious Diseases, medicine.symptom, business, medicine.drug |
| الوصف: | Introduction Microsporidiosis is an emerging opportunistic infection in renal transplantation (RT) recipients. We aimed to describe its clinical presentation and treatment. Materials and methods We collected microsporidiosis cases identified in RT recipients between 2005 and 2019 in six French centers from the Crystal, Divat and Astre prospective databases. Results We report 68 RT recipients with intestinal microsporidiosis; the patients were predominantly male (61.8%), with a median age of 58 (46-69) years. Infection occurred at a median time of 3 (0.8-6.8) years posttransplant. Only Enterocytozoon bieneusi was found. Microsporidiosis manifested as diarrhea (98.5% of patients) with weight loss (72.1%) and acute renal injury (57.4%) without inflammatory biological parameters. The therapeutic approaches were no treatment (N = 9), reduction of the immunosuppressive regimen (∆IS) (N = 22), fumagillin alone (N = 9), fumagillin and ∆IS (N = 19), and albendazole or nitazoxanide and ∆IS (N = 9). Overall clinical remission was observed in 60 patients (88.2%). We observed no acute kidney rejection, renal transplant failure or death within 6 months after microsporidiosis. Conclusion E. bieneusi is an underestimated opportunistic pathogen in RT recipients, and infection with E. bieneusi leads to diarrhea with important dehydration and acute renal injury. The treatment is based on the reduction of the immunosuppressive regimen and the administration of fumagillin if available. This article is protected by copyright. All rights reserved. |
| اللغة: | English |
| تدمد: | 1398-2273 1399-3062 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ee8b079cc74f2df3a882982aea70126aTest https://hal.univ-angers.fr/hal-03419373Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....ee8b079cc74f2df3a882982aea70126a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13982273 13993062 |
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