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Renal transplant patient survives a donor-derived abdominal invasive mucormycosis (Lichtheimia ramos a).


ABSTRACT: Mucormycosis is a life-threatening invasive fungal infection, most commonly described in severely immunocompromised patients. It is characterized by rapid invasive growth of the fungus and often with fatal outcome. We report a case of a renal transplant recipient diagnosed with a donor-derived invasive mucormycosis. In this patient, we used a step-wise approach of withdrawal of immunosuppressants, antifungal induction therapy, extensive surgical debridement of all (potentially) infected tissue, abdominal irrigation of liposomal amphotericin B and interferon gamma. Due to rapid diagnosis and intensive therapy the patient survived.

SUBMITTER: Spithoven EM 

PROVIDER: S-EPMC7593344 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Renal transplant patient survives a donor-derived abdominal invasive mucormycosis (<i>Lichtheimia ramos</i> <i>a</i>).

Spithoven E M EM   Bruns A H W AHW   Petri B J BJ   Haas P J PJ   Nguyen T Q TQ   Hagen F F   van Zuilen A D AD  

Medical mycology case reports 20201023


Mucormycosis is a life-threatening invasive fungal infection, most commonly described in severely immunocompromised patients. It is characterized by rapid invasive growth of the fungus and often with fatal outcome. We report a case of a renal transplant recipient diagnosed with a donor-derived invasive mucormycosis. In this patient, we used a step-wise approach of withdrawal of immunosuppressants, antifungal induction therapy, extensive surgical debridement of all (potentially) infected tissue,  ...[more]

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