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Infections inTransplant Recipients

Chapter 148 | Harrison's 22e · Part 5 – Infectious Diseases: Bacterial · Chapter 148


Key Clinical Points

  1. Transplant recipients (SOT/VCA) require lifelong immunosuppression, leading to persistent risk from both common and opportunistic pathogens.
  2. HCT patients face a high-risk window of transient immunosuppression and neutropenia, with infection risks categorized by time post-transplant.
  3. Allo-HCT carries a 35-50% incidence of GVHD, requiring specific prophylaxis (e.g., Tacrolimus/sirolimus + mycophenolate mofetil).
  4. Infections in immunocompromised hosts often present atypically or with multiple concurrent pathogens.
  5. Radiologic findings are frequently non-specific (e.g., Nocardia, TB, Aspergillosis), necessitating high clinical suspicion and multi-modal diagnostics.
  6. Management relies on a combination of prophylaxis, empirical therapy for neutropenic fever, targeted treatment, and source control.

1. DEFINITION & OVERVIEW

Transplant recipients include solid organ transplant (SOT), vascular composite allograft (VCA), and hematopoietic stem cell transplant (HCT) patients.

SOT/VCA: Require lifelong immunosuppression to prevent graft rejection, leading to persistent risk from common and opportunistic pathogens. • HCT: Includes two primary types: ◦ Auto-HCT: Uses recipient-derived stem cells; primarily for multiple myeloma (80%), lymphoma, and select nonmalignant conditions (e.g., systemic sclerosis). ◦ Allo-HCT: Uses donor stem cells; used for acute leukemia, myelodysplastic/myeloproliferative disorders, aplastic anemia, hemoglobinopathies, and primary immunodeficiencies. • Immunosuppression Dynamics: Lifelong for SOT/VCA; typically temporary (months) for allo-HCT to manage GVHD risk.


2. EPIDEMIOLOGY & RISK FACTORS

HCT Volume: Approximately 20,000 HCTs occur annually in the US (12,000 auto-HCT; 8,000 allo-HCT). • GVHD Risk: Allo-HCT recipients have a 35-50% incidence of GVHD. • Infection Timing (Table 148-1):Very Early (<1 month): Aerobic bacteria (Gram-positive and Gram-negative), HSV, and Candida. ◦ Early (<100 days): Candida, Aspergillus, CMV, EBV, Toxoplasma, community-acquired respiratory viruses, Pneumocystis, molds, and adenovirus. ◦ Late (>100 days): Encapsulated bacteria (Streptococcus pneumoniae, Haemophilus influenzae, Neisseria meningitidis), Nocardia, and other community-acquired respiratory viruses.

2.1 Site-Specific Risk Factors

Genitourinary Tract: BK virus (common <100 days); HHV-6 and Toxoplasma (>100 days). ◦ Risk factors for UTI: Duration of indwelling catheters, female sex, and recurrence prior to transplant. ◦ BK Risk: High viremia (>10,000 copies/mL), older age, and male recipients. • Pulmonary: Risk factors include pretransplant colonization with resistant organisms, requirement for endotracheal intubation, and CLAD (a risk factor for and result of infection). • Cardiac: Toxoplasma (pretransplant serology D+/R–); Trypanosoma cruzi (seropositive donor exclusion); Ureaplama/Mycoplasma (risk of encephalopathy if ammonia >200 μmol/L).


3. CLINICAL FEATURES & PATHOGENS

Infections in immunocompromised hosts often present with atypical symptoms, delayed onset, or multiple concurrent pathogens.

Bacterial Pathogens: Staphylococcus aureus (including MRSA), Pseudomonas aeruginosa, and encapsulated bacteria (S. pneumoniae, H. influenzae, N. meningitidis). • Fungal Pathogens: Candida spp., Aspergillus fumigatus, and other molds. • Viral Pathogens: Cytomegalovirus (CMV), Epstein-Barr virus (EBV), BK polyomavirus, HSV, VZV, and respiratory viruses (RSV, influenza, SARS-CoV-2). • Opportunistic/Other: Nocardia, Toxoplasma gondii, Trypanosoma cruzi.

3.1 Diagnostic Challenges

Atypical Presentation: E.g., CMV pneumonia may present with fever and hypoxia without classic pulmonary infiltrates. • Non-specific Imaging: Radiologic findings (e.g., consolidation, nodular opacities) are often non-specific (Figure 148-1). • Multi-pathogen Infection: Common due to profound immunosuppression.


4. DIAGNOSTIC APPROACH

  1. Clinical Assessment: Evaluate for atypical symptoms and evidence of multiple concurrent pathogens.
  2. Laboratory Testing:Microbiology: Blood cultures, tissue/fluid cultures (especially for intra-abdominal or graft sites). ◦ Virology: PCR for viral pathogens (CMV, EBV, BK). ◦ Mycology: Galactomannan assay for Aspergillus.
  3. Imaging:Chest X-ray/CT: Primary tool for pulmonary infections. ◦ Abdominal Ultrasound: For identifying abscesses or complications of biliary leaks.
  4. Tissue Biopsy: Indicated when clinical suspicion is high for fungal or CMV infections.

4.1 Special Considerations

Latent TB: Requires pre-transplant screening; risk of reactivation in SOT recipients. • Drug Resistance: High prevalence of carbapenemase-producing Enterobacteriaceae.


5. MANAGEMENT & PROPHYLAXIS

  1. Prophylaxis (Table 148-3):Candida: Fluconazole (for patients with mucosal integrity disruption). ◦ Aspergillus/Molds: Posaconazole. ◦ HBV: Entecavir (for those at risk of infection). ◦ HSV/VZV: Acyclovir or valacyclovir. ◦ CMV: Letermovir (preferred in HCT) or valganciclovir. ◦ Pneumocystis jirovecii: Trimethoprim-sulfamethoxazole (TMP-SMX). Second line: Dapsone, pentamidine, or atovaquone. ◦ Toxoplasma gondii: TMP-SMX or atovaquone. ◦ Strongyloides stercoralis: Ivermectin. ◦ LTBI: Isoniazid or rifampin (if active TB is ruled out).
  2. Empirical Therapy:Neutropenic Fever: Piperacillin-tazobam + vancomycin.
  3. Targeted Therapy:Aspergillus: Voriconazole.
  4. Source Control:Surgical/Interventional Radiology: Essential for bacterial/fungal infections of the graft, anastomosis, or intra-abdominal sites (e.g., biliary leaks).
  5. GVH Prevention:Allo-HCT: Tacrolimus/sirolimus + mycophenolate mofetil.

6. KEY CLINICAL PEARLS

SOT vs. HCT: SOT requires lifelong immunosuppression; HCT involves a high-risk window of transient immunosuppression and neutropenia. • Timing Matters: In HCT, the risk profile shifts from bacterial/viral (<1 month) to fungal/viral (<100 days) to community-acquired pathogens (>100 days). • Source Control: Critical for any localized infection (e.g., intra-abdominal or graft site) involving bacteria or fungi. • Prophylaxis Standards: Standardized regimens exist for Pneumocystis (TMP-SMX), HSV/VZV (Acyclovir/Valacyclovir), and CMV (Valganciclovir/Letermovir). • Clinical Vigilance: Atypical presentations and non-specific imaging (Figure 148-1) require high clinical suspicion for opportunistic infections.


Reference Tables

TABLE 148-1 Common Sources of Infection After Hematopoietic Stem Cell Transplantation

Harrison's 22e, p.1155

INFECTION SITE PERIOD AFTER TRANSPLANTATION
VERY EARLY (<1 MONTH) EARLY (BEFORE 100 DAYS) LATE (>100 DAYS)
Disseminated Aerobic bacteria (gram-negative,
gram-positive)
Candida, Aspergillus, CMV, EBV,
Toxoplasma
Encapsulated bacteria (Streptococcus pneumoniae,
Haemophilus influenzae, Neisseria meningitidis)
HSV, Candida HSV, VZV
Lungs Aerobic bacteria (gram-negative,
gram-positive), Aspergillus, other molds
CMV, community-acquired respiratory
viruses, Pneumocystis, Toxoplasma,
molds, adenovirus
Community-acquired respiratory viruses, Pneumocystis,
Nocardia, S. pneumoniae, H. influenzae
NTM (cGVHD)
Clostridioides difficile CMV, adenovirus, norovirus
Genitourinary tract BK virus BK virus, adenovirus
HHV-6, Toxoplasma
Bone marrow CMV, Toxoplasma CMV

TABLE 148-2 Common Infections After Solid Organ Transplantation by Site of Infection and Transplant Type

Harrison's 22e, p.1159

INFECTED SITE TYPE OF INFECTION RISK FACTOR MANAGEMENT
Transplanted organ Bacterial and fungal infections of the
graft, anastomotic site, and surgical
wound
Prior colonization of the donor with
MDR organisms
Institute targeted antimicrobial treatment as soon as
prior colonization is known (peritransplant or immediately
posttransplant). Source control (surgical or interventional
radiology) and continued directed antimicrobials. Optimal
duration after source control is unknown. Usual correlates
of adequate treatment are clinical, laboratory, and radiologic
resolution.
Bacterial, yeast infections are most
common; NTM (rare, mostly thoracic
transplants)
Pain, erythema, discharge, or
dehiscence of wounds, typically within
the first 30 days posttransplant
Intra-abdominal
infections in liver
transplant recipients
Bacterial and yeast infections Secondary to biliary anastomoses leaks,
or Roux-en-Y hepaticojejunostomy or
other anastomoses that increase the
risk of intestinal reflux into the biliary
system; hepatic necrosis, from hepatic
vascular thrombosis
Obtain blood cultures. Deep tissue or fluid cultures obtained
intraoperatively or by IR. Source control. Antimicrobials
adjusted based on microbiologic results (polymicrobial
infections are the norm). Optimal duration of antimicrobials is
unknown. Usual correlates of adequate treatment are clinical,
laboratory, and radiologic resolution.
Recurrent cholangitis (bacteria and
yeast)
Biliary strictures: anastomotic (acute)
or nonanastomotic (chronic allograft
rejection)
Urinary tract
infections in kidney
transplant
Recurrent cystitis and
pyelonephritis (bacteria, in
particular Enterobacteriaceae);
Mycobacterium tuberculosis and
yeasts are less frequent causes of
UTI but should be suspected when
there is pyuria and/or hematuria and
negative cultures
Duration of indwelling urinary tract
catheters, female recipients, as well as
recurrent UTI prior to the transplant
Prompt catheter and ureteral stent removal. Targeted
antimicrobials. If recurrent UTI, evaluate for anatomic
abnormalities (ureteral reflux, ureterovesical junction stenosis,
neurogenic bladder, bladder diverticulum).
BK, rarely JC virus Heightened immunosuppression, male
recipient, older age, and a high BK
viremia (>10,000 copies/mL)
Pneumonia and
tracheobronchitis in
lung transplant
Bacterial infections: severe or
recalcitrant community-acquired
viral pathogens (RSV, influenza,
SARS-CoV-2); invasive mold
infections; fungal tracheobronchial
infection; NTM pulmonary disease
Pretransplant colonization with resistant
organisms, requiring endotracheal
intubation prior to the transplant, and
mucociliary dysfunction, are significant
risk factors for bacterial infections;
CLAD is a risk factor for and a result of
recurrent viral, bacterial, fungal, and
mycobacterial infections
Early antimicrobial therapy if possible. For viral respiratory
pathogens, prevention with seasonal annual vaccination is
recommended, with monoclonal antibodies when available. In
patients with CLAD, respiratory rehabilitation and pulmonary
toileting.
Bacterial or Candida mediastinitis,
with or without sternal osteomyelitis;
less common Nocardia spp., NTM,
or molds
Diabetes mellitus, surgical reoperation,
and acute rejection
Myocarditis,
pericarditis, and
cardiomyopathy in
heart transplant
Toxoplasma gondii infection Toxoplasma pretransplant serology
D+/R–
Diagnosis is established by the identification of tachyzoites in
the endomyocardial biopsy or PCR in tissue and/or pericardial
fluid. Preemptive monitoring via blood PCR and TMP-SMX
prophylaxis reduce incidence of disease.
Trypanosoma cruzi Pretransplant recipient seropositivity
(hearts from seropositive donors are
not used)
Clinical manifestations are fever, myocarditis, and painful skin
lesions. Preemptive monitoring via blood PCR to detect early
reactivation is indicated in all previously known seropositive
recipients. Antitrypanosomal treatment (benznidazole or
nifurtimox) for all patients with reactivation and tissue-
invasive disease.
Ureaplasma spp. systemic infection
(less commonly Mycoplasma spp.)
that results in encephalopathy due to
high ammonia levels >200 μmol/L
Donor lung colonization

TABLE 148-3 Prophylactic Regimens Commonly Used to Decrease Risk of Infection in Transplant Recipients

Harrison's 22e, p.1164

RISK FACTOR ORGANISM PROPHYLACTIC DRUG EXAMINATION(S)a
Neutropenia, mucositis Candida Fluconazole Candida is part of the normal GI flora; everyone
with disruption of the mucosal integrity is at risk
Aspergillus and other molds Posaconazole
Travel to or residence in
an area with known risk of
endemic fungal infection
Histoplasma, Blastomyces,
Coccidioides, Talaromyces
marneffei
Triazoles considered in context of clinical and
laboratory assessment
Chest imaging, antigen testing, serology
HBV Entecavir
Chronic hepatitis C HCV Prophylaxis not used; treat to achieve
persistent virological response
HCV serology, HCV RNA
HSV, VZV, significantly lower
efficacy for CMV, EBV
Acyclovir or valacyclovir
CMV Letermovir (more experience in HCT) or
valganciclovir (active against HSV and VZV)
Exposure (unknown reservoir)
or colonization
Pneumocystis jirovecii Trimethoprim-sulfamethoxazole (TMP-SMX)
Second line: dapsone, pentamidine,
atovaquone
Toxoplasma gondii
Strongyloides stercoralis
TMP-SMX or atovaquone for toxoplasma
Ivermectin for Strongyloides
LTBI Mycobacterium tuberculosis Isoniazid or rifampin in patients with recent
seroconversion, positive chest imaging, or
recent known exposure and no previous
treatment, once active TB is ruled out
TST and/or IGRA; if indeterminate, clinical
assessment of exposure and risk