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Pulmonary Complications in Hematopoietic Stem Cell Transplant Recipients-A Clinician Primer.

Anna AstashchankaJoseph RyanErica LinBrandon T NokesCatriona JamiesonSeth KligermanAtul MalhotraJess MandelJisha Joshua
Published in: Journal of clinical medicine (2021)
Hematopoietic stem cell transplants (HSCT) are becoming more widespread as a result of optimization of conditioning regimens and prevention of short-term complications with prophylactic antibiotics and antifungals. However, pulmonary complications post-HSCT remain a leading cause of morbidity and mortality and are a challenge to clinicians in both diagnosis and treatment. This comprehensive review provides a primer for non-pulmonary healthcare providers, synthesizing the current evidence behind common infectious and non-infectious post-transplant pulmonary complications based on time (peri-engraftment, early post-transplantation, and late post-transplantation). Utilizing the combination of timing of presentation, clinical symptoms, histopathology, and radiographic findings should increase rates of early diagnosis, treatment, and prognostication of these severe illness states.
Keyphrases
  • hematopoietic stem cell
  • pulmonary hypertension
  • healthcare
  • risk factors
  • palliative care
  • early onset
  • social media
  • physical activity
  • case report
  • bone marrow
  • combination therapy
  • health information
  • replacement therapy