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  • Review
  • Open Access
2,830 Views
26 Pages

The Role of Vaccination in Adult Solid Organ Transplantation: Updated Reviews with Recent Guidelines

  • Girish Mour,
  • Sujay Dutta Paudel,
  • Pranav Modi,
  • Umesh Goswami and ,
  • Jamilah Shubeilat,
  • Lucy Ptak and
  • Sandesh Parajuli
  • + 2 authors+ 0 author

Vaccination remains a cornerstone of infection prevention in adult solid organ transplant (SOT) recipients, a population at heightened risk for vaccine-preventable diseases due to chronic immunosuppression and comorbidities. Updated guidelines from t...

(This article belongs to the Special Issue Infections in Solid Organ Transplant Recipients: Epidemiology, Pathogenesis, and Clinical Management)
  • Review
  • Open Access
2,327 Views
38 Pages

(1) Background: Hepatitis E remains a major public health challenge in India. (2) Methods: In August 2025, the recombinant HEV 239 vaccine was approved in India for adults aged 18 to 65 years. To establish clinical guidelines tailored to the Indian s...

(This article belongs to the Special Issue Hepatitis E: Virus, Disease and Vaccine)
  • Review
  • Open Access
9 Citations
3,852 Views
10 Pages

Kidney Transplantation in COVID Pandemic—A Review of Guidelines

  • Gabriela Gut,
  • Agata Góral,
  • Zofia Dal Canton,
  • Paweł Poznański and ,
  • Magdalena Krajewska and
  • Mariusz Kusztal
  • + 1 author+ 0 author

29 June 2021

The paper describes problems with the transplantation process during the COVID-19 pandemic. Transplantation procedures and programs have been impacted by COVID-19. The number of transplants has fallen noticeably. The first part of the paper points ou...

(This article belongs to the Collection Novel Insights in Renal Transplantation)
  • Review
  • Open Access
6 Citations
8,379 Views
20 Pages

1 July 2013

Among patients with organ failure, vitamin D deficiency is extremely common and frequently does not resolve after transplantation. This review crystallizes and summarizes existing data on the status quo of vitamin D deficiency in patients with organ...

(This article belongs to the Special Issue Vitamin D and Human Health)
  • Review
  • Open Access
13 Citations
4,422 Views
21 Pages

Current Perspectives on the Management of Herpesvirus Infections in Solid Organ Transplant Recipients

  • S. Reshwan K. Malahe,
  • Jeroen J. A. van Kampen,
  • Olivier C. Manintveld,
  • Rogier A. S. Hoek and ,
  • Caroline M. den Hoed,
  • Carla C. Baan,
  • Marcia M. L. Kho and
  • Georges M. G. M. Verjans
  • + 3 authors+ 0 author

21 July 2023

Solid organ transplant recipients (SOTRs) are at high risk of human herpesvirus (HHV)-related morbidity and mortality due to the use of immunosuppressive therapy. We aim to increase awareness and understanding of HHV disease burden in SOTRs by provid...

(This article belongs to the Special Issue Transfusion & Transplantation Transmitted Viral Infections)
  • Case Report
  • Open Access
22 Citations
6,329 Views
11 Pages

Nocardia Infections in the Immunocompromised Host: A Case Series and Literature Review

  • Emanuele Palomba,
  • Arianna Liparoti,
  • Anna Tonizzo,
  • Valeria Castelli and ,
  • Laura Alagna,
  • Giorgio Bozzi,
  • Riccardo Ungaro,
  • Antonio Muscatello,
  • Andrea Gori and
  • Alessandra Bandera
  • + 5 authors+ 0 author

Nocardia is primarily considered an opportunistic pathogen and affects patients with impaired immune systems, solid-organ transplant recipients (SOTRs), and patients with haematologic malignancies. We present the cases of six patients diagnosed with...

(This article belongs to the Special Issue Multi-Drug Resistant (MDR) Gram-Positive Bacterial Infections)
  • Review
  • Open Access
1 Citations
4,416 Views
8 Pages

Kidney Transplantation during the SARS-CoV-2 Pandemic in Israel: Experience from a Large-Volume Center

  • Aviad Gravetz,
  • Vladimir Tennak,
  • Vadym Mezhebovsky,
  • Michael Gurevich and ,
  • Sigal Eisner and
  • Eviatar Nesher
  • + 1 author+ 0 author

Coronavirus disease 2019 (COVID-19) has affected tens of millions of people globally since it was declared a pandemic by the World Health Organization on 11 March 2020. Since its outbreak in December 2019, the ongoing coronavirus COVID-19 pandemic ha...

(This article belongs to the Special Issue COVID-19 in Kidney Transplantation)
  • Review
  • Open Access
7 Citations
4,582 Views
20 Pages

Genetic and Epigenetic Associations with Post-Transplant Diabetes Mellitus

  • Zeinab Abdelrahman,
  • Alexander Peter Maxwell and
  • Amy Jayne McKnight

17 April 2024

Post-transplant diabetes mellitus (PTDM) is a common complication of solid organ transplantation. PTDM prevalence varies due to different diabetes definitions. Consensus guidelines for the diagnosis of PTDM have been published based on random blood g...

(This article belongs to the Section Human Genomics and Genetic Diseases)
  • Review
  • Open Access
598 Views
31 Pages

Malaria in Solid Organ Transplant Recipients: Transmission, Diagnosis, Geographic Patterns, and the Role of Cyclosporin

  • Wanesa Wilczyńska,
  • Małgorzata Marchelek-Myśliwiec,
  • Krzysztof Korzeniewski,
  • Michał Sławiński and
  • Danuta Kosik-Bogacka

Malaria is one of the most severe parasitic diseases worldwide and presents unique challenges in solid organ transplantation (SOT). Donor-derived malaria, although rare, can cause severe morbidity and mortality due to diagnostic delays and the altere...

(This article belongs to the Special Issue Malaria: Updates on Prevention, Diagnosis, and Treatment)
  • Article
  • Open Access
37 Citations
6,441 Views
14 Pages

Current Practices on Diagnosis, Prevention and Treatment of Post-Transplant Lymphoproliferative Disorder in Pediatric Patients after Solid Organ Transplantation: Results of ERN TransplantChild Healthcare Working Group Survey

  • Alastair Baker,
  • Esteban Frauca Remacha,
  • Juan Torres Canizales,
  • Luz Yadira Bravo-Gallego and ,
  • Emer Fitzpatrick,
  • Angel Alonso Melgar,
  • Gema Muñoz Bartolo,
  • Luis Garcia Guereta,
  • Esther Ramos Boluda and
  • Paloma Jara Vega
  • + 33 authors+ 28 authors

(1) Background: Post-transplant lymphoproliferative disease (PTLD) is a significant complication of solid organ transplantation (SOT). However, there is lack of consensus in PTLD management. Our aim was to establish a present benchmark for comparison...

(This article belongs to the Special Issue Multidisciplinary Problems and Research in Pediatric Liver Transplantation)
  • Review
  • Open Access
13 Citations
8,802 Views
12 Pages

From Spores to Solutions: A Comprehensive Narrative Review on Mucormycosis

  • Sara Palma Gullì,
  • Vinaykumar Hallur,
  • Pratibha Kale,
  • Godfred Antony Menezes and ,
  • Alessandro Russo and
  • Nidhi Singla
  • + 1 author+ 0 author

Mucormycosis is an infrequent but fatal illness that mainly affects patients with uncontrolled diabetes mellitus, diabetic ketoacidosis, solid and hematologic neoplasms, organ transplantation, chronic steroid intake, prolonged neutropenia, iron overl...

(This article belongs to the Special Issue One Health Approach to Diagnose and Treat Fungal/Bacterial Infections)
  • Review
  • Open Access
48 Citations
5,300 Views
11 Pages

4 December 2019

Clinicians are increasingly facing the decision of performing anal cancer screening in high-risk groups. Anal cytology is commonly the first approach. We systematically reviewed recommendations favoring anal cytology for anal cancer screening. Three...

(This article belongs to the Special Issue Cytologic Features of Tumor)
  • Systematic Review
  • Open Access
2 Citations
3,479 Views
18 Pages

Evidence for Immunity against Tetanus, Diphtheria, and Pertussis through Natural Infection or Vaccination in Adult Solid Organ Transplant Recipients: A Systematic Review

  • Emil Lenzing,
  • Zitta Barrella Harboe,
  • Søren Schwartz Sørensen,
  • Allan Rasmussen and ,
  • Susanne Dam Nielsen and
  • Omid Rezahosseini
  • + 1 author+ 0 author

(1) Background: We aim to systematically review the current evidence on immunity against tetanus, diphtheria, and pertussis in adult solid organ transplantation (SOT) recipients, either through natural infection or vaccination. (2) Methods: This syst...

(This article belongs to the Special Issue Infections in Solid Organ Transplant Recipients)
  • Case Report
  • Open Access
1 Citations
3,661 Views
8 Pages

Orthotopic Liver Transplantation of a SARS-CoV-2 Negative Recipient from a Positive Donor: The Border between Uncertainty and Necessity in a Pandemic Era- Case Report and Overview of the Literature

  • Gabriela Droc,
  • Cristina Martac,
  • Cristina Georgiana Buzatu,
  • Miruna Jipa and ,
  • Maria Daniela Punga and
  • Sebastian Isac
  • + 1 author+ 0 author

26 April 2023

(1) Introduction: Liver transplantation represents the gold-standard therapy in eligible patients with acute liver failure or end-stage liver disease. The COVID-19 pandemic dramatically affected the transplantation landscape by reducing patients’ add...

(This article belongs to the Special Issue Recent Advances and Future Challenges in Gastroenterology and Hepatology)
  • Article
  • Open Access
2 Citations
5,241 Views
9 Pages

Background/Objectives: Pneumocystis jirovecii pneumonia is a significant contributor to morbidity and mortality in patients with solid organ transplants. Sulfamethoxazole–trimethoprim prophylaxis has greatly reduced the incidence of this deadly...

(This article belongs to the Section Solid Organ Transplantation)
  • Review
  • Open Access
5 Citations
5,461 Views
20 Pages

Pneumocystis jirovecii Pneumonia after Heart Transplantation: Two Case Reports and a Review of the Literature

  • Carlo Burzio,
  • Eleonora Balzani,
  • Silvia Corcione,
  • Giorgia Montrucchio and ,
  • Anna Chiara Trompeo and
  • Luca Brazzi
  • + 1 author+ 0 author

21 October 2023

Post-transplant Pneumocystis jirovecii pneumonia (PcP) is an uncommon but increasingly reported disease among solid organ transplantation (SOT) recipients, associated with significant morbidity and mortality. Although the introduction of PcP prophyla...

(This article belongs to the Special Issue Topical Advisory Panel Members’ Collection Series: Diagnostics, Surveillance and Management of Infectious Diseases)
  • Systematic Review
  • Open Access
6 Citations
3,689 Views
16 Pages

Trichoderma spp.-Related Pneumonia: A Case Report in Heart–Lung Transplantation Recipient and a Systematic Literature Review

  • Carlo Burzio,
  • Eleonora Balzani,
  • Giorgia Montrucchio,
  • Anna Chiara Trompeo and ,
  • Silvia Corcione and
  • Luca Brazzi
  • + 1 author+ 0 author

2 February 2023

Opportunistic and hospital-acquired infections are common among recipients of solid organ transplantation. New pathogens are increasingly reported in the intensive care unit (ICU) population. We report a case of a patient who developed Trichoderma sp...

(This article belongs to the Special Issue Fungal Infections: New Challenges and Opportunities)
  • Review
  • Open Access
24 Citations
11,130 Views
24 Pages

Recent Advances in Adult Post-Transplant Lymphoproliferative Disorder

  • Mariam Markouli,
  • Fauzia Ullah,
  • Najiullah Omar,
  • Anna Apostolopoulou and ,
  • Puneet Dhillon,
  • Panagiotis Diamantopoulos,
  • Joshua Dower,
  • Carmelo Gurnari,
  • Sairah Ahmed and
  • Danai Dima
  • + 5 authors+ 0 author

1 December 2022

PTLD is a rare but severe complication of hematopoietic or solid organ transplant recipients, with variable incidence and timing of occurrence depending on different patient-, therapy-, and transplant-related factors. The pathogenesis of PTLD is comp...

(This article belongs to the Special Issue Large Granular Lymphocytic Leukemia: Genomics and Immunome)
  • Systematic Review
  • Open Access
13 Citations
3,434 Views
17 Pages

Risk Factors for Non-Adherence to Medication for Liver Transplant Patients: An Umbrella Review

  • Jordi Colmenero,
  • Mikel Gastaca,
  • Laura Martínez-Alarcón,
  • Cristina Soria and ,
  • Esther Lázaro and
  • Inmaculada Plasencia
  • + 1 author+ 0 author

18 April 2024

Background/Objectives: Liver Transplantation (LT) is the second most common solid organ transplantation. Medication adherence on LT patients is key to avoiding graft failure, mortality, and important quality of life losses. The aim of this study is t...

(This article belongs to the Special Issue Liver Transplantation: Clinical Advances and Challenges)
  • Review
  • Open Access
38 Citations
7,400 Views
29 Pages

Solid Organ Rejection following SARS-CoV-2 Vaccination or COVID-19 Infection: A Systematic Review and Meta-Analysis

  • Saad Alhumaid,
  • Ali A. Rabaan,
  • Kuldeep Dhama,
  • Shin Jie Yong and ,
  • Firzan Nainu,
  • Khalid Hajissa,
  • Nourah Al Dossary,
  • Khulood Khaled Alajmi,
  • Afaf E. Al Saggar and
  • Abbas Al Mutair
  • + 24 authors+ 19 authors

10 August 2022

Background: Solid organ rejection post-SARS-CoV-2 vaccination or COVID-19 infection is extremely rare but can occur. T-cell recognition of antigen is the primary and central event that leads to the cascade of events that result in rejection of a tran...

  • Article
  • Open Access
3 Citations
3,182 Views
10 Pages

Cardiorespiratory Performance in Kidney and Liver Transplant Recipients: The Dilemma to Combine Lifestyle and Fitness

  • Giovannino Polara,
  • Alessio Montagnoli,
  • Roberto Palazzo,
  • Melissa Orlandi and ,
  • Gabriele Mascherini,
  • Marco Corsi,
  • Edoardo Falconi and
  • Laura Stefani
  • + 3 authors+ 0 author

It is widely demonstrated that moderate-intensity exercise is associated with improved fitness in non-communicable chronic diseases. However, there are no specific guidelines available for transplant recipients. Body composition is closely linked to...

(This article belongs to the Section Physical Exercise for Health Promotion)
  • Systematic Review
  • Open Access
2 Citations
1,880 Views
21 Pages

Torque Teno Virus (TTV) Plasma Load and Immune Reconstitution Post-Transplantation in Patients with Lymphoproliferative Disorders: A Systematic Review

  • Eugenia Quiros-Roldan,
  • Martina Salvi,
  • Maria Alberti,
  • Giorgio Tiecco and ,
  • Giorgio Biasiotto,
  • Roberto Bresciani,
  • Diego Bertoli,
  • Alessandra Sottini and
  • Maria Antonia De Francesco
  • + 4 authors+ 0 author

19 January 2026

Torque Teno Virus (TTV), a common and genetically diverse component of the human virome, is not linked to any known disease but reflects immune status. Its plasma viral load has shown clinical relevance in solid organ transplant recipients, correlati...

(This article belongs to the Section Immunological Responses and Immune Defense Mechanisms)
  • Review
  • Open Access
2 Citations
2,368 Views
16 Pages

Hepatitis C Direct-Acting Antivirals in the Immunosuppressed Host: Mechanisms, Interactions, and Clinical Outcomes

  • Hoor AlKaabi,
  • Siham AlSinani,
  • Mohamed El-Kassas,
  • Khalid A. Alswat and
  • Khalid M. AlNaamani

26 October 2025

Direct-acting antivirals (DAAs) have transformed hepatitis C virus (HCV) management, offering high cure rates, favorable safety, and simplified regimens. Management in immunosuppressed patients remains challenging due to drug–drug interactions...

(This article belongs to the Section Viral Immunology, Vaccines, and Antivirals)
  • Review
  • Open Access
11 Citations
11,467 Views
18 Pages

Human Papillomavirus-Related Cutaneous Squamous Cell Carcinoma

  • Alejandra Sandoval-Clavijo,
  • Ignasí Martí-Martí,
  • Carla Ferrándiz-Pulido,
  • Júlia Verdaguer-Faja and ,
  • Ane Jaka and
  • Agustí Toll
  • + 1 author+ 0 author

5 March 2025

The human papillomavirus (HPV) has been associated with the carcinogenesis of cutaneous squamous cell carcinoma (cSCC), especially in immunosuppressed patients. This article reviews the microbiology of HPV and its role in tissue tropism, invasion, an...

(This article belongs to the Special Issue Human Papillomavirus (HPV) and Related Cancer)
  • Review
  • Open Access
1 Citations
3,309 Views
16 Pages

Pharmacogenetics Approach for Personalized Tacrolimus Dosing in Heart Transplantation: A Case Report and Literature Review

  • Nives Nikpalj,
  • Jure Samardžić,
  • Nada Božina,
  • Livija Šimičević and ,
  • Lana Ganoci and
  • Tamara Božina
  • + 1 author+ 0 author

26 August 2025

Background: Tacrolimus is a cornerstone of immunosuppressive therapy following heart transplantation. Despite routine therapeutic drug monitoring (TDM), substantial interindividual variability in tacrolimus pharmacokinetics presents a persistent chal...

(This article belongs to the Section Human Genomics and Genetic Diseases)
  • Review
  • Open Access
12 Citations
2,643 Views
10 Pages

SARS-CoV-2 Vaccination in Solid-Organ Transplant Recipients

  • Maddalena Peghin,
  • Elena Graziano and
  • Paolo Antonio Grossi

30 August 2022

The coronavirus disease 2019 (COVID-19) pandemic has posed significant global challenges for solid organ transplant (SOT) recipients. Mortality rates of COVID-19 in this patient population remain high, despite new available therapeutic options and Se...

(This article belongs to the Special Issue COVID-19 Vaccines: The Way Back to Normal Life Is Now Marked)
  • Review
  • Open Access
11 Citations
3,821 Views
19 Pages

A Review of Treatment and Prevention of Coronavirus Disease 2019 among Solid Organ Transplant Recipients

  • Deanna J. Buehrle,
  • Robert R. Sutton,
  • Erin L. McCann and
  • Aaron E. Lucas

27 August 2021

Therapeutic management of solid organ transplant (SOT) recipients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the cause of coronavirus disease 2019 (COVID-19), may challenge healthcare providers given a paucity of clin...

(This article belongs to the Special Issue Opportunistic Viral Infections in Organ Transplant Recipients)
  • Article
  • Open Access
6 Citations
2,906 Views
22 Pages

Therapeutic Drug Monitoring of Everolimus Using Volumetric Absorptive Microsampling and Quantitative Dried Blood Spot Methods with LC-MS/MS in Adult Solid Organ Transplant Recipients: An Analytical and Clinical Comparative Study

  • Arkadiusz Kocur,
  • Bartosz Olkowski,
  • Mateusz Moczulski,
  • Dorota Miszewska-Szyszkowska and ,
  • Olga Maria Rostkowska,
  • Katarzyna Polak,
  • Katarzyna Korniluk,
  • Teresa Bączkowska,
  • Magdalena Durlik and
  • Tomasz Pawiński
  • + 5 authors+ 0 author

26 July 2025

Everolimus (EVE), an mTOR inhibitor, is widely used in solid organ transplantation (SOT) because of its immunosuppressive properties. Due to its narrow therapeutic window and significant pharmacokinetic variability, therapeutic drug monitoring (TDM)...

(This article belongs to the Special Issue Recent Advances in Chromatography for Pharmaceutical Analysis)
  • Review
  • Open Access
44 Citations
15,301 Views
15 Pages

Primary Effusion Lymphoma: A Clinicopathologic Perspective

  • Diamone A. Gathers,
  • Emily Galloway,
  • Katalin Kelemen,
  • Allison Rosenthal and ,
  • Sarah E. Gibson and
  • Javier Munoz
  • + 1 author+ 0 author

30 January 2022

Primary effusion lymphoma (PEL) is a rare, aggressive B-cell lymphoma that usually localizes to serous body cavities to subsequently form effusions in the absence of a discrete mass. Although some tumors can develop in extracavitary locations, the ar...

(This article belongs to the Section Tumor Microenvironment)
  • Systematic Review
  • Open Access
2 Citations
2,559 Views
23 Pages

8 January 2026

Background: Solid organ transplant recipients (SOTRs) are highly vulnerable to severe COVID-19 infection, yet initial vaccine trials provided limited data on efficacy and safety in this immunocompromised population. Heterogeneous seroconversion rates...

(This article belongs to the Special Issue Immunization of Immunosuppressed Patients)
  • Review
  • Open Access
551 Views
18 Pages

Addressing the Gaps and Challenges of Autochthonous Mucocutaneous Leishmaniasis in Spain

  • Diego Gayoso-Cantero,
  • Begoña Monge-Maillo and
  • Jose A. Perez-Molina

Autochthonous mucocutaneous leishmaniasis caused by Leishmania infantum is an under-recognised but established manifestation of endemic leishmaniasis in Spain. This review identified 65 confirmed autochthonous cases reported since 1990, showing a rel...

(This article belongs to the Section Vector-Borne Diseases)
  • Review
  • Open Access
2 Citations
1,566 Views
20 Pages

17 November 2025

Cutaneous squamous cell carcinoma (cSCC) is the second most common skin cancer, with incidence steadily increasing due to cumulative ultraviolet (UV) exposure, impaired immune surveillance, and chronic tissue damage. While most cases are effectively...

(This article belongs to the Section Cancer Immunology and Immunotherapy)
  • Article
  • Open Access
24 Citations
4,303 Views
11 Pages

A UHPLC–MS/MS Method for Therapeutic Drug Monitoring of Aciclovir and Ganciclovir in Plasma and Dried Plasma Spots

  • Federica Pigliasco,
  • Alessia Cafaro,
  • Raffaele Simeoli,
  • Sebastiano Barco and ,
  • Alberto Magnasco,
  • Maura Faraci,
  • Gino Tripodi,
  • Bianca Maria Goffredo and
  • Giuliana Cangemi
  • + 4 authors+ 0 author

The role of therapeutic drug monitoring (TDM) of valaciclovir (VA)/aciclovir (A) and valganciclovir/ganciclovir (VG/G) in critically ill patients is still a matter of debate. More data on the dose–concentration relationship might therefore be useful,...

(This article belongs to the Special Issue Pharmacokinetics and Therapeutic Drug Monitoring)
  • Systematic Review
  • Open Access
29 Citations
7,104 Views
16 Pages

Hemophagocytic Lymphohistiocytosis (HLH) in Patients with Tick-Borne Illness: A Scoping Review of 98 Cases

  • Dorde Jevtic,
  • Marilia Dagnon da Silva,
  • Alberto Busmail Haylock,
  • Charles W. Nordstrom and ,
  • Stevan Oluic,
  • Nikola Pantic,
  • Milan Nikolajevic,
  • Nikola Nikolajevic,
  • Magdalena Kotseva and
  • Igor Dumic
  • + 5 authors+ 0 author

21 February 2024

Hemophagocytic lymphohistiocytosis (HLH) secondary to tick-borne infections is a rare but potentially life-threatening syndrome. We performed a scoping review according to PRISMA guidelines to systematically analyze the existing literature on the top...

(This article belongs to the Section Bacterial Diseases)