To bite the bullet of early graft nephrectomy: A case report

被引:3
作者
Pradhan, A.
Gadela, S.
Kumar, R. S. V.
Kalghatghi, A.
Pradhan, S.
机构
[1] Eras Lucknow Med Coll, Dept Pharmacol, Lucknow, Uttar Pradesh, India
[2] Command Hosp, Dept Urol, Lucknow, Uttar Pradesh, India
[3] Command Hosp, Dept Nephrol, Lucknow, Uttar Pradesh, India
[4] Command Hosp, Dept Microbiol, Lucknow, Uttar Pradesh, India
关键词
D O I
10.1016/j.transproceed.2007.01.092
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 [免疫学];
摘要
Isolated renal allograft mucormycosis is rare. Only 8 cases have been reported to date, with patient survival in only 3. We recently encountered a case. The presentation was fever and graft dysfunction, which were unresponsive to extended antibiotic treatment and supportive care. It was only after three graft biopsies that mucormycosis was diagnosed and amphotericin B started. Urgent graft nephrectomy was performed, but the patient died of septicemia. In retrospect, we believe that early institution of amphotericin B and graft nephrectomy are needed for patient salvage in this difficult clinical situation.
引用
收藏
页码:1664 / 1665
页数:2
相关论文
共 6 条
[1]
Ahmad M, 2005, J NEPHROL, V18, P783
[2]
Posttransplant infections in the tropical countries [J].
Jha, V ;
Chugh, KS .
ARTIFICIAL ORGANS, 2002, 26 (09) :770-777
[3]
Isolated renal allograft arterial mucormycosis: an extremely rare complication [J].
Minz, M ;
Sharma, A ;
Kashyap, R ;
Udgiri, N ;
Heer, M ;
Kumar, V ;
Vaiphei, K .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2003, 18 (05) :1034-1035
[4]
IMPROVED DIAGNOSIS AND PROGNOSIS OF MUCORMYCOSIS - A CLINICOPATHOLOGICAL STUDY OF 33 CASES [J].
PARFREY, NA .
MEDICINE, 1986, 65 (02) :113-123
[5]
Ponnappa BG, 2000, BOMBAY HOSP J, V42, P1034
[6]
RAGHAVAN R, 1987, HISTOPATHOLOGY, V11, P9, DOI 10.1111/j.1365-2559.1987.tb02605.x