Mr. K. had renal transplant surgery 6 months ago and so far has had no problems with organ rejection. He is taking cyclosporine (Sandimmune) in a maintenance dose. He wants to go back to work and is in for a checkup before approval is given for a return to his job.
QUESTIONS:
- He asks if he will have to continue the cyclosporine. What is your response?
- He complains of difficulty swallowing, and as you examine his mouth, you look for signs of oral candidiasis. What findings would indicate that he has this condition?
- After 2 weeks at work, Mr. K. calls to report that he has the flu. He has a sore throat, chills, and achy joints, and he is very tired. What is your advice?
- Mr. K. tells you that his job sometimes requires him to travel to remote areas of the world. What concerns are there with vaccinations, if any?