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Colonic Mucormycosis Mimicking Ischemic Colitis in Kidney Transplant Recipient / 대한이식학회지
The Journal of the Korean Society for Transplantation ; : 98-102, 2016.
Artículo en Inglés | WPRIM | ID: wpr-219371
ABSTRACT
Mucormycosis is an extremely rare but potentially life-threatening fungal infection. Mucormycosis of the gastrointestinal tract manifests with features similar to ischemic colitis. A 48-year-old man with end-stage renal disease due to diabetic nephropathy underwent deceased donor kidney transplantation. He complained of abdominal pain and distension on postoperative day 17. A computed tomography (CT) scan revealed symmetrical wall thickening of the ascending colon, which was consistent with ischemic colitis. However, a follow-up CT scan showed a localized wall-off colon perforation in the hepatic flexure and segmental mural gas in the ascending colon. Microscopic examination obtained from a surgical specimen demonstrated numerous fungal hyphae and spores in the mucosa and submucosa. A total colectomy was performed, but the patient died 36 days later due to multiple organ failure, despite antifungal agents. Clinicians should be informed about fungal infection, such as colonic mucormycosis mimicking ischemic colitis, in kidney transplant patients with diabetes mellitus, and treatment should be initiated at the earliest.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Esporas / Donantes de Tejidos / Tomografía Computarizada por Rayos X / Dolor Abdominal / Estudios de Seguimiento / Trasplante de Riñón / Colitis Isquémica / Colectomía / Colon / Hifa Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Humanos Idioma: Inglés Revista: The Journal of the Korean Society for Transplantation Año: 2016 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Esporas / Donantes de Tejidos / Tomografía Computarizada por Rayos X / Dolor Abdominal / Estudios de Seguimiento / Trasplante de Riñón / Colitis Isquémica / Colectomía / Colon / Hifa Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Humanos Idioma: Inglés Revista: The Journal of the Korean Society for Transplantation Año: 2016 Tipo del documento: Artículo