臨床検査67巻12号

2023年12月発行

今月の特集 中枢神経系感染症アップデート 医療関連・免疫不全患者における中枢神経系感染症

固形臓器移植患者における中枢神経系感染症

著者： 稲田誠¹ 岡本耕¹

所属機関： ¹東京大学医学部附属病院感染症内科

ページ範囲：P.1358 - P.1365

Point

●固形臓器移植（SOT）患者における感染症には，医療関連感染症，日和見感染症，市中感染症，ドナー由来感染症などがあり鑑別が非常に多岐にわたる．

●SOT手術からの時期で分類すると，1カ月以内であれば医療関連感染症が，1〜6カ月であれば日和見感染症が，半年以上経過していれば市中感染症が多い．

●適切な診断のためには脳脊髄液（CSF）や中枢神経組織を用いて，PCRや特殊染色，特殊な培養などを行う必要があり，必要に応じて専門機関に検査を依頼する．

参考文献

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