Renal Mucormycosis : A Rare and Potentially Lethal Complication of Kidney Transplantation
Joint Authors
He, Chun
Cronin, David C.
Kuy, SreyRam
Source
Case Reports in Transplantation
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-10-22
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Renal mucormycosis is a rare and potentially lethal complication of kidney transplantation.
We describe two cases of renal mucormycosis following deceased donor kidney transplantation.
This is the second report of renal mucormycosis following kidney transplantation in the United States, and the first case of renal mucormycosis infection presumed to be of recipient origin.
Case A had an early presentation of mucormycosis isolated to the kidney allograft.
He had an unexpected rise in serum creatinine and leukocytosis necessitating allograft biopsy which showed mucormycosis.
He underwent transplant nephrectomy on posttransplant day 11, was treated with amphotericin B, and discharged home on posttransplant day 22.
Case B had a late presentation of renal mucormycosis, preceded by a cutaneous manifestation.
One year after kidney transplantation he had a nonhealing knee ulcer which on biopsy showed cutaneous mucormycosis.
Treatment included aggressive debridement and amphotericin B.
Allograft biopsy showed mucormycosis, necessitating transplant nephrectomy.
He was discharged to a rehabilitation facility and died from noninfectious causes.
Review of the published literature of renal mucormycosis cases following kidney transplantation reveals a mortality rate of more than 50%.
The key to successful outcome is early recognition, prompt institution of surgical debridement of all infected tissue, and appropriate antifungal therapy.
American Psychological Association (APA)
Kuy, SreyRam& He, Chun& Cronin, David C.. 2013. Renal Mucormycosis : A Rare and Potentially Lethal Complication of Kidney Transplantation. Case Reports in Transplantation،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-507775
Modern Language Association (MLA)
Kuy, SreyRam…[et al.]. Renal Mucormycosis : A Rare and Potentially Lethal Complication of Kidney Transplantation. Case Reports in Transplantation No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-507775
American Medical Association (AMA)
Kuy, SreyRam& He, Chun& Cronin, David C.. Renal Mucormycosis : A Rare and Potentially Lethal Complication of Kidney Transplantation. Case Reports in Transplantation. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-507775
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-507775