Successful Treatment of Invasive Gastric Mucormycosis in a Kidney Transplant Recipient / 대한이식학회지
The Journal of the Korean Society for Transplantation
; : 104-107, 2018.
Article
Dans En
| WPRIM
| ID: wpr-718767
Responsable en Bibliothèque :
WPRO
ABSTRACT
Mucormycosis is an extremely rare but potentially life-threatening fungal infection. Gastrointestinal (GI) mucormycosis is very rare and occurs primarily in highly malnourished patients, especially in infants and children. A 55-year-old man with end-stage renal disease due to diabetic nephropathy, who had undergone deceased donor kidney transplantation 2 years prior, complained of abdominal pain and distension with a 3-day duration. Computed tomography revealed diffuse gastric wall thickening, and a huge amount of grey colored necrotic debris surrounded by erythematous erosive mucosa was observed at the antrum to upper body by GI endoscopy. The microscopic examination obtained from a GI endoscopic specimen demonstrated peptic detritus with numerous non-septate mucor hyphae in the mucosa and submucosa. Mucormycosis was diagnosed based on the clinical findings and morphological features. A total gastrectomy was performed and an antifungal agent was administered. A microscopic examination of the surgical specimen demonstrated invasive mucormycosis with numerous fungal hyphae with invasion into the mucosa to subserosa. The patient and graft were treated successfully by total gastrectomy and antifungal therapy.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Estomac
/
Donneurs de tissus
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Douleur abdominale
/
Transplantation rénale
/
Transplants
/
Hyphae
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Néphropathies diabétiques
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Endoscopie
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Receveurs de transplantation
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Gastrectomie
Limites du sujet:
Child
/
Humans
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Infant
langue:
En
Texte intégral:
The Journal of the Korean Society for Transplantation
Année:
2018
Type:
Article