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Combined medical surgical therapy for pulmonary mucormycosis in a diabetic renal allograft recipient

Authors
Journal
American Journal of Kidney Diseases
0272-6386
Publisher
Elsevier
Volume
38
Issue
6
Identifiers
DOI: 10.1053/ajkd.2001.29293
Keywords
  • Mucormycosis
  • Kidney Transplant
  • Immunosuppression
Disciplines
  • Medicine

Abstract

Abstract Mucormycosis is a rare opportunistic infection that complicates chronic debilitating diseases and immunosuppressed solid-organ transplant recipients. We present a case of life-threatening pulmonary mucormycosis in a diabetic renal allograft recipient who survived with reasonable renal function. Early recognition of this entity and prompt use of bronchoalveolar lavage (BAL) are critical to the outcome. Antifungal therapy combined with early surgical excision of infected, necrotic tissue appears to be the preferred course of action. Judicious withholding of immunosuppressants until fungemia cleared did not jeopardize allograft function. © 2001 by the National Kidney Foundation, Inc.

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