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Allograft Mucormycosis Due to Rhizopus microsporus in a Kidney Transplant Recipient

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Author(s)
W. ParkM. JangE. HwangS. HanS. ParkH. KimM. Choe
Keimyung Author(s)
Park, Woo YoungHwang, Eun AhHan, Seung YeupPark, Sung BaeChoe, Mi SunKim, Hyoung Tae
Department
Dept. of Internal Medicine (내과학)
Dept. of Pathology (병리학)
Dept. of Surgery (외과학)
Kidney Institute (신장연구소)
Journal Title
Transplantation Proceedings
Issued Date
2014
Volume
46
Issue
2
Abstract
Mucormycosis is an uncommon infectious complication with fatal outcome after kidney
transplantation. We describe a rare form of mucormycosis in allograft kidney. The patient
was a 54-year-old man who underwent deceased-donor transplantation. The patient
experienced delayed graft function and new-onset diabetes within 1 week after trans-
plantation. Four weeks after transplantation, he was readmitted because of allograft
dysfunction without fever or pain. Ultrasonography showed enlarged allograft with normal
blood flow. He was received broad antibiotics for 6 days, but allograft function was not
recovered. Seven days after admission, allograft biopsy was performed, and in microscopic
examination, extensive necrotic areas with disseminated fungal invasion were seen, and it
was identified as Rhizopus microsporus by culture and DNA analysis. With allograft ne-
phrectomy, he was treated with amphotericin B. Despite intensive antifungal drugs after
graft nephrectomy, the patient died of disseminated fungal infection.
Keimyung Author(s)(Kor)
박우영
황은아
한승엽
박성배
최미선
김형태
Publisher
School of Medicine
Citation
W. Park et al. (2014). Allograft Mucormycosis Due to Rhizopus microsporus in a Kidney Transplant Recipient. Transplantation Proceedings, 46(2), 623–625. doi: 10.1016/j.transproceed.2013.12.017
Type
Article
ISSN
0041-1345
Source
https://www.sciencedirect.com/science/article/pii/S0041134513014139?via%3Dihub
DOI
10.1016/j.transproceed.2013.12.017
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34685
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. School of Medicine (의과대학) > Dept. of Pathology (병리학)
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
3. Research Institutues (연구소) > Kidney Institute (신장연구소)
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