PMC5585664_01
Time course of Chagas reoccurrences and complications after transplant. While it is unlikely that the patient would have survived his admission for respiratory failure without a transplant, a significant portion of this posttransplant life was marred by both T. cruzi detected in the blood and hospitalizations for various causes. Urinary tract infection (UTI), small bowel obstruction (SBO), bronchial alveolar lavage (BAL), acute kidney injury (AKI), cyclosporine (CSA), nausea & vomiting (N&V), Pneumocystis jiroveci pneumonia (PJP), respiratory failure (resp failure), altered mental status (AMS), and respiratory syncytial virus (RSV).
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fig1
During this time, the patient required multiple hospitalizations (see Figure 1) and modification of his immune suppression based on both therapeutic monitoring and the occurrence of infections.