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Hautinfektionen nach Transplantation

Skin infections after transplantation

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Zusammenfassung

Hautinfektionen bei organtransplantierten Patienten sind sehr häufig und von hoher Priorität, weil nicht selten schwere Krankheitsbilder beobachtet werden. Im Vordergrund stehen bakterielle, mykotische und virale Infektionen, wobei das Infektionsrisiko mit der Dauer der Immunsuppression steigt. Insbesondere findet man Pyodermien, Infektionen mit Herpesviren 6/7, Herpes-simplex- und Varicella-Zoster-Virus-Reaktivierung, Zytomegalie-Virusinfektionen und Candida-Infektionen. Auch seltene Erreger müssen in Betracht gezogen werden. Die infektiösen Hautmanifestationen lassen sich in den ersten Jahren post transplantationem in 3 Phasen einordnen. Diagnose und frühzeitige Therapie, zusammen mit Prophylaxe und Nachsorgebetreuung der Patienten müssen angestrebt werden, um lebensbedrohliche Komplikationen zu vermeiden.

Abstract

Skin infections after transplantation are frequent and of special importance because they may be quite severe. The spectrum of dermatologic infections in transplant recipients includes bacterial, mycotic and viral diseases. Pyoderma, herpes virus 6/7, herpes simplex virus, varicella-zoster virus, cytomegalovirus and candida infections predominate. Rare pathogens must be also considered. Cutaneous infections can be divided into three phases following transplantation. Diagnosis and adequate early therapy together with specific prophylaxis and follow-up of transplant patients should be strived for to avoid life-threatening complications.

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  1. Universitätsklinik für Dermatologie und Venerologie, Abteilung für Allgemeine Dermatologie, Medizinische Universität Graz, Auenbruggerplatz 8, 8036, Graz, Österreich

    I.H. Wolf

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  1. I.H. Wolf
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Correspondence to I.H. Wolf.

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Wolf, I. Hautinfektionen nach Transplantation. Hautarzt 61, 230–233 (2010). https://doi.org/10.1007/s00105-009-1859-1

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  • DOI: https://doi.org/10.1007/s00105-009-1859-1

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