Mucor infection in renal grafts from the same donor after renal transplantation
10.3969/j.issn.1674-7445.2015.05.013
- VernacularTitle:来自同一供体的肾移植患者术后并发移植肾毛霉菌感染
- Author:
Shanbin ZHANG
1
;
Jinzhu XIAO
;
Guoqing ZHANG
;
Xianping CHE
;
Ning CHEN
;
Jun GU
;
Shibao FU
;
Desheng LI
Author Information
1. 海南省农垦总医院泌尿外科
- Keywords:
Renal transplantation;
Mucor;
Mucormycosis;
Aneurysm thrombosis;
Thrombelastogram
- From:
Organ Transplantation
2015;(5):340-344
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the diagnosis and treatment experience of mucor infection in renal grafts.Methods Clinical data of two patients with mucor infection in renal grafts from the same kidney donor that finally caused renal graft and renal artery rupture were retrospectively studied,and the relevant domestic and foreign literatures were reviewed. Results and conclusions Mucor infection after renal transplantation has no specific manifestation,thus it lacks of means of early diagnosis and is easy to cause misdiagnosis and missed diagnosis.Mucor infection is easy to cause vascular rupture and the prognosis is poor.Early diagnosis, thorough debridement, timely selection of effective antifungal agent, withdrawal of immunosuppressant and correction of coagulation disorders under the monitor of thrombelastogram may improve the survival rate of such patients.