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논문 기본 정보

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저자정보
Kim Joong-Yub (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Seoul National University Hospital Seoul National University College of Medicine Seoul Korea.) Han Ahram (Department of Surgery Seoul National University Hospital Seoul National University College of Medicine Seoul Korea.) Lee Hajeong (Division of Nephrology Department of Internal Medicine Seoul National University Hospital Seoul National University College of Medicine Seoul Korea.) Ha Jongwon (Department of Surgery Seoul National University Hospital Seoul National University College of Medicine Seoul Korea.Transplantation Research Institute Seoul National University College of Medicine Seou) Lee Kwang-Woong (Department of Surgery Seoul National University Hospital Seoul National University College of Medicine Seoul Korea.) Suh Kyung-Suk (Department of Surgery Seoul National University Hospital Seoul National University College of Medicine Seoul Korea.) Yi Nam-Joon (Department of Surgery Seoul National University Hospital Seoul National University College of Medicine Seoul Korea.) Min Sangil (Department of Surgery Seoul National University Hospital Seoul National University College of Medicine Seoul Korea.) Hong Suk Kyun (Department of Surgery Seoul National University Hospital Seoul National University College of Medicine Seoul Korea.) Kim Yong Chul (Division of Nephrology Department of Internal Medicine Seoul National University Hospital Seoul National University College of Medicine Seoul Korea.) Choi YoungRok (Department of Surgery Seoul National University Hospital Seoul National University College of Medicine Seoul Korea.) Yim Jae-Joon (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Seoul National University Hospital Seoul National University College of Medicine Seoul Korea.) Kwak Nakwon (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Seoul National University Hospital Seoul National University College of Medicine Seoul Korea.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.38 No.6
발행연도
2023.2
수록면
1 - 9 (9page)
DOI
10.3346/jkms.2023.38.e46

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Background: Due to impaired cell-mediated immunity, solid organ transplantation (SOT) recipients are at increased risk of developing nontuberculous mycobacterial pulmonary disease (NTM-PD). However, the clinical course of NTM-PD in SOT patients and the impact of SOT on the prognosis of NTM-PD remain unclear. Methods: We analyzed patients who developed NTM-PD after receiving SOT between January 2001 and December 2020, at a tertiary referral hospital in South Korea. Baseline characteristics, clinical course, and prognosis were evaluated. Propensity score-matched analysis was performed to assess the impact of SOT on long-term survival in patients with NTM-PD. Results: Among 4,685 SOT recipients over 20 years, 12 patients (median age, 64 years; interquartile range [IQR], 59–67 years; men, 66.7%) developed NTM-PD. Seven (58.3%) and five (41.7%) patients underwent kidney and liver transplantation, respectively, before the diagnosis of NTM-PD. The incidence of NTM-PD was 35.6 cases per 100,000 person-years among kidney transplant recipients and 28.7 cases per 100,000 person-years among liver transplant recipients. The median time between transplantation and the diagnosis of NTMPD was 3.3 (IQR, 1.5–10.8) years. The most common mycobacterial species was Mycobacterium avium (50.0%). Antibiotic treatment was initiated in five (41.7%) patients, and two patients (40.0%) achieved microbiological cure. Two patients died during a median follow-up of 4.2 (IQR, 2.3–8.8) years and NTM-PD was assumed to be the cause of death in one patient. When matched to patients without a history of SOT, patients with a history of SOT did not show worse survival (P value for log-rank test = 0.62). Conclusion: The clinical course of NTM-PD in SOT recipients was comparable to that of patients without SOT, and SOT did not increase the risk of all-cause mortality in patients with NTM-PD.
#Solid Organ Transplantation #Nontuberculous Mycobacteria #Immunocompromised #Pulmonary Disease

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