GrippeBresilV2, Main, Exploration, bibRecord, 000098

Clinical Characteristics and Outcomes of Influenza A Infection in Kidney Transplant Recipients: A Single-Center Experience.

Identifieur interne : 000098 ( Main/Exploration ); précédent : 000097; suivant : 000099

Clinical Characteristics and Outcomes of Influenza A Infection in Kidney Transplant Recipients: A Single-Center Experience.

Auteurs : F C A. Odongo [Brésil] ; L S Azevedo [Brésil] ; E D Neto [Brésil] ; H. Yeh-Li [Brésil] ; H. Caiaffa [Brésil] ; L C Pierrotti [Brésil]

Source :

Transplantation proceedings [ 1873-2623 ] ; 2016.

RBID : pubmed:27742287

Descripteurs français

KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Brésil (épidémiologie), Co-infection (épidémiologie), Dyspnée (MeSH), Facteurs de risque (MeSH), Facteurs temps (MeSH), Femelle (MeSH), Fièvre (MeSH), Grippe humaine (immunologie), Grippe humaine (mortalité), Grippe humaine (épidémiologie), Grippe humaine (étiologie), Hospitalisation (statistiques et données numériques), Humains (MeSH), Immunosuppresseurs (effets indésirables), Incidence (MeSH), Jeune adulte (MeSH), Myalgie (MeSH), Mâle (MeSH), Pneumopathie bactérienne (épidémiologie), Receveurs de transplantation (MeSH), Rejet du greffon (prévention et contrôle), Sous-type H1N1 du virus de la grippe A (MeSH), Sujet immunodéprimé (MeSH), Sujet âgé (MeSH), Toux (MeSH), Transplantation rénale (MeSH), Unités de soins intensifs (statistiques et données numériques), Virus de la grippe A (MeSH), Études rétrospectives (MeSH).
MESH :
- effets indésirables : Immunosuppresseurs.
- immunologie : Grippe humaine.
- mortalité : Grippe humaine.
- prévention et contrôle : Rejet du greffon.
- statistiques et données numériques : Hospitalisation, Unités de soins intensifs.
- épidémiologie : Brésil, Co-infection, Grippe humaine, Pneumopathie bactérienne.
- étiologie : Grippe humaine.
- Adulte, Adulte d'âge moyen, Dyspnée, Facteurs de risque, Facteurs temps, Femelle, Fièvre, Humains, Incidence, Jeune adulte, Myalgie, Mâle, Receveurs de transplantation, Sous-type H1N1 du virus de la grippe A, Sujet immunodéprimé, Sujet âgé, Toux, Transplantation rénale, Virus de la grippe A, Études rétrospectives.

English descriptors

KwdEn :
- Adult (MeSH), Aged (MeSH), Brazil (epidemiology), Coinfection (epidemiology), Cough (MeSH), Dyspnea (MeSH), Female (MeSH), Fever (MeSH), Graft Rejection (prevention & control), Hospitalization (statistics & numerical data), Humans (MeSH), Immunocompromised Host (MeSH), Immunosuppressive Agents (adverse effects), Incidence (MeSH), Influenza A Virus, H1N1 Subtype (MeSH), Influenza A virus (MeSH), Influenza, Human (epidemiology), Influenza, Human (etiology), Influenza, Human (immunology), Influenza, Human (mortality), Intensive Care Units (statistics & numerical data), Kidney Transplantation (MeSH), Male (MeSH), Middle Aged (MeSH), Myalgia (MeSH), Pneumonia, Bacterial (epidemiology), Retrospective Studies (MeSH), Risk Factors (MeSH), Time Factors (MeSH), Transplant Recipients (MeSH), Young Adult (MeSH).
MESH :
- chemical , adverse effects : Immunosuppressive Agents.
- epidemiology : Brazil, Coinfection, Influenza, Human, Pneumonia, Bacterial.
- etiology : Influenza, Human.
- immunology : Influenza, Human.
- mortality : Influenza, Human.
- prevention & control : Graft Rejection.
- statistics & numerical data : Hospitalization, Intensive Care Units.
- Adult, Aged, Cough, Dyspnea, Female, Fever, Humans, Immunocompromised Host, Incidence, Influenza A Virus, H1N1 Subtype, Influenza A virus, Kidney Transplantation, Male, Middle Aged, Myalgia, Retrospective Studies, Risk Factors, Time Factors, Transplant Recipients, Young Adult.

Abstract

BACKGROUND

Influenza virus infection can cause severe illness in certain high-risk groups. Solid organ and hematopoietic stem cell transplant recipients have been shown to present a greater risk for severe influenza and complications than the general population.

METHODS

Retrospective descriptive cohort study of the features and outcomes of influenza infection in renal transplant recipients from July 2009 to May 2014.

RESULTS

Thirty-one patients were diagnosed with influenza A infection within the specified period. The incidence of influenza A was 26.5 cases/1,000 person-years. Hospital admission (68%), secondary bacterial pneumonia (68%), intensive care unit admission (14%), and mortality rate (14%) were higher than reported for immunocompetent patients.

CONCLUSIONS

Influenza diagnosis and treatment should be prompt in immunocompromised patients to reduce the risk of complications. Patients who require intensive care owing to respiratory and hemodynamic complications present high mortality rates.

DOI: 10.1016/j.transproceed.2016.06.024
PubMed: 27742287

Affiliations:

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<term>Aged (MeSH)</term>
<term>Brazil (epidemiology)</term>
<term>Coinfection (epidemiology)</term>
<term>Cough (MeSH)</term>
<term>Dyspnea (MeSH)</term>
<term>Female (MeSH)</term>
<term>Fever (MeSH)</term>
<term>Graft Rejection (prevention & control)</term>
<term>Hospitalization (statistics & numerical data)</term>
<term>Humans (MeSH)</term>
<term>Immunocompromised Host (MeSH)</term>
<term>Immunosuppressive Agents (adverse effects)</term>
<term>Incidence (MeSH)</term>
<term>Influenza A Virus, H1N1 Subtype (MeSH)</term>
<term>Influenza A virus (MeSH)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (etiology)</term>
<term>Influenza, Human (immunology)</term>
<term>Influenza, Human (mortality)</term>
<term>Intensive Care Units (statistics & numerical data)</term>
<term>Kidney Transplantation (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Myalgia (MeSH)</term>
<term>Pneumonia, Bacterial (epidemiology)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Time Factors (MeSH)</term>
<term>Transplant Recipients (MeSH)</term>
<term>Young Adult (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Brésil (épidémiologie)</term>
<term>Co-infection (épidémiologie)</term>
<term>Dyspnée (MeSH)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Facteurs temps (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Fièvre (MeSH)</term>
<term>Grippe humaine (immunologie)</term>
<term>Grippe humaine (mortalité)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Grippe humaine (étiologie)</term>
<term>Hospitalisation (statistiques et données numériques)</term>
<term>Humains (MeSH)</term>
<term>Immunosuppresseurs (effets indésirables)</term>
<term>Incidence (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Myalgie (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Pneumopathie bactérienne (épidémiologie)</term>
<term>Receveurs de transplantation (MeSH)</term>
<term>Rejet du greffon (prévention et contrôle)</term>
<term>Sous-type H1N1 du virus de la grippe A (MeSH)</term>
<term>Sujet immunodéprimé (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Toux (MeSH)</term>
<term>Transplantation rénale (MeSH)</term>
<term>Unités de soins intensifs (statistiques et données numériques)</term>
<term>Virus de la grippe A (MeSH)</term>
<term>Études rétrospectives (MeSH)</term>
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<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Immunosuppressive Agents</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Immunosuppresseurs</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Brazil</term>
<term>Coinfection</term>
<term>Influenza, Human</term>
<term>Pneumonia, Bacterial</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Grippe humaine</term>
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<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Grippe humaine</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Graft Rejection</term>
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<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Rejet du greffon</term>
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<term>Intensive Care Units</term>
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<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Hospitalisation</term>
<term>Unités de soins intensifs</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Brésil</term>
<term>Co-infection</term>
<term>Grippe humaine</term>
<term>Pneumopathie bactérienne</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Cough</term>
<term>Dyspnea</term>
<term>Female</term>
<term>Fever</term>
<term>Humans</term>
<term>Immunocompromised Host</term>
<term>Incidence</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Influenza A virus</term>
<term>Kidney Transplantation</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Myalgia</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>Time Factors</term>
<term>Transplant Recipients</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Dyspnée</term>
<term>Facteurs de risque</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Fièvre</term>
<term>Humains</term>
<term>Incidence</term>
<term>Jeune adulte</term>
<term>Myalgie</term>
<term>Mâle</term>
<term>Receveurs de transplantation</term>
<term>Sous-type H1N1 du virus de la grippe A</term>
<term>Sujet immunodéprimé</term>
<term>Sujet âgé</term>
<term>Toux</term>
<term>Transplantation rénale</term>
<term>Virus de la grippe A</term>
<term>Études rétrospectives</term>
</keywords>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Influenza virus infection can cause severe illness in certain high-risk groups. Solid organ and hematopoietic stem cell transplant recipients have been shown to present a greater risk for severe influenza and complications than the general population.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Retrospective descriptive cohort study of the features and outcomes of influenza infection in renal transplant recipients from July 2009 to May 2014.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Thirty-one patients were diagnosed with influenza A infection within the specified period. The incidence of influenza A was 26.5 cases/1,000 person-years. Hospital admission (68%), secondary bacterial pneumonia (68%), intensive care unit admission (14%), and mortality rate (14%) were higher than reported for immunocompetent patients.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Influenza diagnosis and treatment should be prompt in immunocompromised patients to reduce the risk of complications. Patients who require intensive care owing to respiratory and hemodynamic complications present high mortality rates.</p>
</div>
</front>
</TEI>
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<DateCompleted><Year>2017</Year>
<Month>04</Month>
<Day>25</Day>
</DateCompleted>
<DateRevised><Year>2018</Year>
<Month>12</Month>
<Day>02</Day>
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<Month>Sep</Month>
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<Title>Transplantation proceedings</Title>
<ISOAbbreviation>Transplant. Proc.</ISOAbbreviation>
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<ArticleTitle>Clinical Characteristics and Outcomes of Influenza A Infection in Kidney Transplant Recipients: A Single-Center Experience.</ArticleTitle>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Influenza virus infection can cause severe illness in certain high-risk groups. Solid organ and hematopoietic stem cell transplant recipients have been shown to present a greater risk for severe influenza and complications than the general population.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Retrospective descriptive cohort study of the features and outcomes of influenza infection in renal transplant recipients from July 2009 to May 2014.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Thirty-one patients were diagnosed with influenza A infection within the specified period. The incidence of influenza A was 26.5 cases/1,000 person-years. Hospital admission (68%), secondary bacterial pneumonia (68%), intensive care unit admission (14%), and mortality rate (14%) were higher than reported for immunocompetent patients.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Influenza diagnosis and treatment should be prompt in immunocompromised patients to reduce the risk of complications. Patients who require intensive care owing to respiratory and hemodynamic complications present high mortality rates.</AbstractText>
<CopyrightInformation>Copyright © 2016. Published by Elsevier Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Odongo</LastName>
<ForeName>F C A</ForeName>
<Initials>FC</Initials>
<AffiliationInfo><Affiliation>Department of Infectious and Parasitic Diseases, Clinical Hospital, University of São Paulo, São Paulo, Brazil. Electronic address: fatmatieno@gmail.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Azevedo</LastName>
<ForeName>L S</ForeName>
<Initials>LS</Initials>
<AffiliationInfo><Affiliation>Department of Urology and Renal Transplant, Clinical Hospital, University of São Paulo, São Paulo, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Neto</LastName>
<ForeName>E D</ForeName>
<Initials>ED</Initials>
<AffiliationInfo><Affiliation>Department of Urology and Renal Transplant, Clinical Hospital, University of São Paulo, São Paulo, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Yeh-Li</LastName>
<ForeName>H</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Infectious and Parasitic Diseases, Clinical Hospital, University of São Paulo, São Paulo, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Caiaffa</LastName>
<ForeName>H</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Laboratory of Molecular Biology, Clinical Hospital, University of São Paulo, São Paulo, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pierrotti</LastName>
<ForeName>L C</ForeName>
<Initials>LC</Initials>
<AffiliationInfo><Affiliation>Department of Infectious and Parasitic Diseases, Clinical Hospital, University of São Paulo, São Paulo, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Transplant Proc</MedlineTA>
<NlmUniqueID>0243532</NlmUniqueID>
<ISSNLinking>0041-1345</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D007166">Immunosuppressive Agents</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001938" MajorTopicYN="N">Brazil</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D060085" MajorTopicYN="N">Coinfection</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003371" MajorTopicYN="N">Cough</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004417" MajorTopicYN="N">Dyspnea</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005334" MajorTopicYN="N">Fever</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006084" MajorTopicYN="N">Graft Rejection</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016867" MajorTopicYN="N">Immunocompromised Host</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007166" MajorTopicYN="N">Immunosuppressive Agents</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D053118" MajorTopicYN="Y">Influenza A Virus, H1N1 Subtype</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009980" MajorTopicYN="N">Influenza A virus</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000276" MajorTopicYN="N">immunology</QualifierName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007362" MajorTopicYN="N">Intensive Care Units</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016030" MajorTopicYN="Y">Kidney Transplantation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D063806" MajorTopicYN="N">Myalgia</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018410" MajorTopicYN="N">Pneumonia, Bacterial</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D066027" MajorTopicYN="N">Transplant Recipients</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2016</Year>
<Month>10</Month>
<Day>16</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2016</Year>
<Month>10</Month>
<Day>16</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2017</Year>
<Month>4</Month>
<Day>26</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">27742287</ArticleId>
<ArticleId IdType="pii">S0041-1345(16)30316-5</ArticleId>
<ArticleId IdType="doi">10.1016/j.transproceed.2016.06.024</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Brésil</li>
</country>
<region><li>État de São Paulo</li>
</region>
<settlement><li>São Paulo</li>
</settlement>
<orgName><li>Université de São Paulo</li>
</orgName>
</list>
<tree><country name="Brésil"><region name="État de São Paulo"><name sortKey="Odongo, F C A" sort="Odongo, F C A" uniqKey="Odongo F" first="F C A" last="Odongo">F C A. Odongo</name>
</region>
<name sortKey="Azevedo, L S" sort="Azevedo, L S" uniqKey="Azevedo L" first="L S" last="Azevedo">L S Azevedo</name>
<name sortKey="Caiaffa, H" sort="Caiaffa, H" uniqKey="Caiaffa H" first="H" last="Caiaffa">H. Caiaffa</name>
<name sortKey="Neto, E D" sort="Neto, E D" uniqKey="Neto E" first="E D" last="Neto">E D Neto</name>
<name sortKey="Pierrotti, L C" sort="Pierrotti, L C" uniqKey="Pierrotti L" first="L C" last="Pierrotti">L C Pierrotti</name>
<name sortKey="Yeh Li, H" sort="Yeh Li, H" uniqKey="Yeh Li H" first="H" last="Yeh-Li">H. Yeh-Li</name>
</country>
</tree>
</affiliations>
</record>

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   |texte=   Clinical Characteristics and Outcomes of Influenza A Infection in Kidney Transplant Recipients: A Single-Center Experience.
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Clinical Characteristics and Outcomes of Influenza A Infection in Kidney Transplant Recipients: A Single-Center Experience.

Clinical Characteristics and Outcomes of Influenza A Infection in Kidney Transplant Recipients: A Single-Center Experience.

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