Skin infections in organ transplant recipients
Summary In contrast to the well‐described high risk of skin cancer in organ transplant recipients, skin infections in these patients are not as well explored.Skin infections caused by viruses, bacteria or fungi represent a growing diagnostic and therapeutic challenge in the dermatological aftercare...
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| Veröffentlicht in: | Journal der Deutschen Dermatologischen Gesellschaft 2008-02, Vol.6 (2), p.98-104 |
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| container_title | Journal der Deutschen Dermatologischen Gesellschaft |
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| creator | Ulrich, Claas Hackethal, Monika Meyer, Thomas Geusau, Alexandra Nindl, Ingo Ulrich, Martina Forschner, Tobias Sterry, Wolfram Stockfleth, Eggert |
| description | Summary
In contrast to the well‐described high risk of skin cancer in organ transplant recipients, skin infections in these patients are not as well explored.Skin infections caused by viruses, bacteria or fungi represent a growing diagnostic and therapeutic challenge in the dermatological aftercare of organ transplant recipients. Differing immunosuppressive drugs and their variable dosage in chronologic sequence after transplantation probably influence the type and appearance of skin infections.
The typical chronology of skin infections are wound infections, pyoderma or the reactivation of herpes viruses in the first month post‐transplant;the main problems in months 2–5 are opportunistic infections and reactivation of varicella‐zoster virus.After 6 months as immunosuppression is reduced, the spectrum of causative organisms approaches that of the general population; mycoses and human papilloma virus (HPV) infections dominate.
A causal connection exists between infection with oncogenic viruses such as HPV, Epstein‐Barr virus and human herpesvirus 8 and specific skin cancers (squamous cell carcinoma, Kaposi sarcoma and post‐transplant lymphoprolif‐erative disorders).
Dermatological care of organ transplant recipients using appropriate diagnostic methods adapted to the modified clinical pattern may lead to early adequate treatment. |
| doi_str_mv | 10.1111/j.1610-0387.2007.06431.x |
| format | Article |
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In contrast to the well‐described high risk of skin cancer in organ transplant recipients, skin infections in these patients are not as well explored.Skin infections caused by viruses, bacteria or fungi represent a growing diagnostic and therapeutic challenge in the dermatological aftercare of organ transplant recipients. Differing immunosuppressive drugs and their variable dosage in chronologic sequence after transplantation probably influence the type and appearance of skin infections.
The typical chronology of skin infections are wound infections, pyoderma or the reactivation of herpes viruses in the first month post‐transplant;the main problems in months 2–5 are opportunistic infections and reactivation of varicella‐zoster virus.After 6 months as immunosuppression is reduced, the spectrum of causative organisms approaches that of the general population; mycoses and human papilloma virus (HPV) infections dominate.
A causal connection exists between infection with oncogenic viruses such as HPV, Epstein‐Barr virus and human herpesvirus 8 and specific skin cancers (squamous cell carcinoma, Kaposi sarcoma and post‐transplant lymphoprolif‐erative disorders).
Dermatological care of organ transplant recipients using appropriate diagnostic methods adapted to the modified clinical pattern may lead to early adequate treatment.</description><identifier>ISSN: 1610-0379</identifier><identifier>EISSN: 1610-0387</identifier><identifier>DOI: 10.1111/j.1610-0387.2007.06431.x</identifier><identifier>PMID: 17995969</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Diagnosis, Differential ; Humans ; immunosuppression ; Oncogenic Viruses ; Opportunistic Infections - diagnosis ; Opportunistic Infections - etiology ; Opportunistic Infections - therapy ; Organ Transplantation ; Referral and Consultation ; Skin Diseases, Infectious - diagnosis ; Skin Diseases, Infectious - etiology ; Skin Diseases, Infectious - therapy ; Skin Diseases, Viral - diagnosis ; Skin Diseases, Viral - etiology ; Skin Diseases, Viral - therapy ; skin infection ; Tumor Virus Infections - diagnosis ; Tumor Virus Infections - etiology ; Tumor Virus Infections - therapy</subject><ispartof>Journal der Deutschen Dermatologischen Gesellschaft, 2008-02, Vol.6 (2), p.98-104</ispartof><rights>2008 Journal compilation © Blackwell Verlag, Berlin</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3711-111c464dbee283fa5395ec1e928bffef6a9933e57e4dafae111204c9427583883</citedby><cites>FETCH-LOGICAL-c3711-111c464dbee283fa5395ec1e928bffef6a9933e57e4dafae111204c9427583883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1610-0387.2007.06431.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1610-0387.2007.06431.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17995969$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ulrich, Claas</creatorcontrib><creatorcontrib>Hackethal, Monika</creatorcontrib><creatorcontrib>Meyer, Thomas</creatorcontrib><creatorcontrib>Geusau, Alexandra</creatorcontrib><creatorcontrib>Nindl, Ingo</creatorcontrib><creatorcontrib>Ulrich, Martina</creatorcontrib><creatorcontrib>Forschner, Tobias</creatorcontrib><creatorcontrib>Sterry, Wolfram</creatorcontrib><creatorcontrib>Stockfleth, Eggert</creatorcontrib><title>Skin infections in organ transplant recipients</title><title>Journal der Deutschen Dermatologischen Gesellschaft</title><addtitle>J Dtsch Dermatol Ges</addtitle><description>Summary
In contrast to the well‐described high risk of skin cancer in organ transplant recipients, skin infections in these patients are not as well explored.Skin infections caused by viruses, bacteria or fungi represent a growing diagnostic and therapeutic challenge in the dermatological aftercare of organ transplant recipients. Differing immunosuppressive drugs and their variable dosage in chronologic sequence after transplantation probably influence the type and appearance of skin infections.
The typical chronology of skin infections are wound infections, pyoderma or the reactivation of herpes viruses in the first month post‐transplant;the main problems in months 2–5 are opportunistic infections and reactivation of varicella‐zoster virus.After 6 months as immunosuppression is reduced, the spectrum of causative organisms approaches that of the general population; mycoses and human papilloma virus (HPV) infections dominate.
A causal connection exists between infection with oncogenic viruses such as HPV, Epstein‐Barr virus and human herpesvirus 8 and specific skin cancers (squamous cell carcinoma, Kaposi sarcoma and post‐transplant lymphoprolif‐erative disorders).
Dermatological care of organ transplant recipients using appropriate diagnostic methods adapted to the modified clinical pattern may lead to early adequate treatment.</description><subject>Diagnosis, Differential</subject><subject>Humans</subject><subject>immunosuppression</subject><subject>Oncogenic Viruses</subject><subject>Opportunistic Infections - diagnosis</subject><subject>Opportunistic Infections - etiology</subject><subject>Opportunistic Infections - therapy</subject><subject>Organ Transplantation</subject><subject>Referral and Consultation</subject><subject>Skin Diseases, Infectious - diagnosis</subject><subject>Skin Diseases, Infectious - etiology</subject><subject>Skin Diseases, Infectious - therapy</subject><subject>Skin Diseases, Viral - diagnosis</subject><subject>Skin Diseases, Viral - etiology</subject><subject>Skin Diseases, Viral - therapy</subject><subject>skin infection</subject><subject>Tumor Virus Infections - diagnosis</subject><subject>Tumor Virus Infections - etiology</subject><subject>Tumor Virus Infections - therapy</subject><issn>1610-0379</issn><issn>1610-0387</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkF1PwjAUhhujEUX_gtmVd5v92Nb1xsSAgglREzBcNmWcmsLYZjsi_Hs7RvDW3vRN-p6nJw9CAcER8edhFZGU4BCzjEcUYx7hNGYk2p2hq9PD-Slz0UPXzq0wpkmG8SXqES5EIlJxhaLp2pSBKTXkjalK52NQ2S9VBo1VpasLVTaBhdzUBsrG3aALrQoHt8e7jz5fnmeDcTh5H70OniZhzjghod8xj9N4uQCgGdMqYSKBnICg2UJr0KkSgjFIOMRLpRX4PsVxLmLKk4xlGeuj-45b2-p7C66RG-NyKPw6UG2d5JgKygTxxawr5rZyzoKWtTUbZfeSYNm6kivZapCtEtm6kgdXcudH745_bBcbWP4NHuX4wmNX-DEF7P8NlsPh6BA9IOwAxjWwOwGUXcuUM57I-dtIzsgAT8eDufxgvxSKhjo</recordid><startdate>200802</startdate><enddate>200802</enddate><creator>Ulrich, Claas</creator><creator>Hackethal, Monika</creator><creator>Meyer, Thomas</creator><creator>Geusau, Alexandra</creator><creator>Nindl, Ingo</creator><creator>Ulrich, Martina</creator><creator>Forschner, Tobias</creator><creator>Sterry, Wolfram</creator><creator>Stockfleth, Eggert</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200802</creationdate><title>Skin infections in organ transplant recipients</title><author>Ulrich, Claas ; Hackethal, Monika ; Meyer, Thomas ; Geusau, Alexandra ; Nindl, Ingo ; Ulrich, Martina ; Forschner, Tobias ; Sterry, Wolfram ; Stockfleth, Eggert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3711-111c464dbee283fa5395ec1e928bffef6a9933e57e4dafae111204c9427583883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Diagnosis, Differential</topic><topic>Humans</topic><topic>immunosuppression</topic><topic>Oncogenic Viruses</topic><topic>Opportunistic Infections - diagnosis</topic><topic>Opportunistic Infections - etiology</topic><topic>Opportunistic Infections - therapy</topic><topic>Organ Transplantation</topic><topic>Referral and Consultation</topic><topic>Skin Diseases, Infectious - diagnosis</topic><topic>Skin Diseases, Infectious - etiology</topic><topic>Skin Diseases, Infectious - therapy</topic><topic>Skin Diseases, Viral - diagnosis</topic><topic>Skin Diseases, Viral - etiology</topic><topic>Skin Diseases, Viral - therapy</topic><topic>skin infection</topic><topic>Tumor Virus Infections - diagnosis</topic><topic>Tumor Virus Infections - etiology</topic><topic>Tumor Virus Infections - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ulrich, Claas</creatorcontrib><creatorcontrib>Hackethal, Monika</creatorcontrib><creatorcontrib>Meyer, Thomas</creatorcontrib><creatorcontrib>Geusau, Alexandra</creatorcontrib><creatorcontrib>Nindl, Ingo</creatorcontrib><creatorcontrib>Ulrich, Martina</creatorcontrib><creatorcontrib>Forschner, Tobias</creatorcontrib><creatorcontrib>Sterry, Wolfram</creatorcontrib><creatorcontrib>Stockfleth, Eggert</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal der Deutschen Dermatologischen Gesellschaft</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ulrich, Claas</au><au>Hackethal, Monika</au><au>Meyer, Thomas</au><au>Geusau, Alexandra</au><au>Nindl, Ingo</au><au>Ulrich, Martina</au><au>Forschner, Tobias</au><au>Sterry, Wolfram</au><au>Stockfleth, Eggert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Skin infections in organ transplant recipients</atitle><jtitle>Journal der Deutschen Dermatologischen Gesellschaft</jtitle><addtitle>J Dtsch Dermatol Ges</addtitle><date>2008-02</date><risdate>2008</risdate><volume>6</volume><issue>2</issue><spage>98</spage><epage>104</epage><pages>98-104</pages><issn>1610-0379</issn><eissn>1610-0387</eissn><abstract>Summary
In contrast to the well‐described high risk of skin cancer in organ transplant recipients, skin infections in these patients are not as well explored.Skin infections caused by viruses, bacteria or fungi represent a growing diagnostic and therapeutic challenge in the dermatological aftercare of organ transplant recipients. Differing immunosuppressive drugs and their variable dosage in chronologic sequence after transplantation probably influence the type and appearance of skin infections.
The typical chronology of skin infections are wound infections, pyoderma or the reactivation of herpes viruses in the first month post‐transplant;the main problems in months 2–5 are opportunistic infections and reactivation of varicella‐zoster virus.After 6 months as immunosuppression is reduced, the spectrum of causative organisms approaches that of the general population; mycoses and human papilloma virus (HPV) infections dominate.
A causal connection exists between infection with oncogenic viruses such as HPV, Epstein‐Barr virus and human herpesvirus 8 and specific skin cancers (squamous cell carcinoma, Kaposi sarcoma and post‐transplant lymphoprolif‐erative disorders).
Dermatological care of organ transplant recipients using appropriate diagnostic methods adapted to the modified clinical pattern may lead to early adequate treatment.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>17995969</pmid><doi>10.1111/j.1610-0387.2007.06431.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Diagnosis, Differential Humans immunosuppression Oncogenic Viruses Opportunistic Infections - diagnosis Opportunistic Infections - etiology Opportunistic Infections - therapy Organ Transplantation Referral and Consultation Skin Diseases, Infectious - diagnosis Skin Diseases, Infectious - etiology Skin Diseases, Infectious - therapy Skin Diseases, Viral - diagnosis Skin Diseases, Viral - etiology Skin Diseases, Viral - therapy skin infection Tumor Virus Infections - diagnosis Tumor Virus Infections - etiology Tumor Virus Infections - therapy |
| title | Skin infections in organ transplant recipients |
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