Successful treatment of mucormycosis after kidney transplantation
IJKD-Iranian Journal of Kidney Diseases. 2008; 2 (3): 163-166
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| IMEMR
| ID: emr-102836
Biblioteca responsable:
EMRO
ABSTRACT
Fungal infections are rare but represent serious complications following organ transplantation. We present a case of mucormycosis primarily affecting the paranasal sinuses in a 51-year-old man with a kidney allograft. The patient presented with headache, left facial and orbital pain, nasal discharge, and elevation of serum creatinine 18 months after kidney transplantation. Laboratory tests revealed cyclosporine nephrotoxicity, cytomegalovirus infection, and prediabetes. Imaging findings were compatible with left maxillary, ethmoidal, and sphenoidal sinusitis. Diagnosis was made based on pathologic findings and detection of typical fungal hyphea in the infected tissues. The patient was successfully treated by discontinuation of cyclosporine and mycophenolate mofetil, initiation of systemic amphotericin B, and aggressive surgical debridement
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Índice:
IMEMR
Asunto principal:
Enfermedades de los Senos Paranasales
/
Tomografía Computarizada por Rayos X
/
Anfotericina B
/
Trasplante de Riñón
/
Resultado del Tratamiento
/
Ciclosporina
/
Manejo de la Enfermedad
/
Cefalea
/
Mucormicosis
/
Micosis
Tipo de estudio:
Case_reports
Límite:
Humans
/
Male
Idioma:
En
Revista:
Iran. J. Kidney Dis.
Año:
2008