8 cases of Pneumocystis carinii pneumonia occurred in a population of 331 kidney transplant recipients receiving 393 transplants at the University of Cincinnati Medical Center between 1968 and 1980. These 8 cases are included in a total of 77 episodes of pulmonary infection which occurred in 69 patients over the 12-year period. During the last 4 years of the study period, there have been no cases of P. carinii pneumonia. This fact has been attributed to a policy of limiting the total dose of intravenous methylprednisolone therapy for acute rejection episodes to < 5 g per given kidney transplant.

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