RESUMO
Cardiac transplantation is the treatment of choice for patients suffering from end-stage cardiac disease unamenable to conventional medical or surgical treatment. More than 390 patients have undergone heart transplantation at the Texas Heart Institute in Houston, and nine were Puerto Rican. Overall survival of these patients is 88%. Our experience with patients from Puerto Rico is described.
Assuntos
Institutos de Cardiologia , Transplante de Coração , Fatores Etários , Institutos de Cardiologia/estatística & dados numéricos , Transplante de Coração/mortalidade , Transplante de Coração/estatística & dados numéricos , Humanos , Tempo de Internação/estatística & dados numéricos , Porto Rico/etnologia , Encaminhamento e Consulta , Fatores Sexuais , TexasRESUMO
Three months after undergoing heart transplantation, a 55-year-old man presented with N. brasiliensis cellulitis resulting from a splinter wound acquired during yard work. Surgical débridement was necessary before the infection responded to medical treatment. Although pulmonary nocardiosis is a well-documented complication of immunosuppressive therapy, this is the 1st report of a nocardial infection associated with primary skin involvement in a heart transplant patient.