학술논문
Epidemiological and clinical study of microsporidiosis in French kidney transplant recipients from 2005 to 2019: TRANS‐SPORE registry.
Document Type
Article
Author
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
Source
Subject
*MICROSPORIDIOSIS
*KIDNEY transplantation
*THERAPEUTICS
*EMERGING infectious diseases
*KIDNEY failure
*OPPORTUNISTIC infections
*DEHYDRATION
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Language
ISSN
1398-2273
Abstract
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. [ABSTRACT FROM AUTHOR]