Penicillium marneffei infection after renal transplantation: one case report
10.3760/cma.j.cn421203-20221004-00248
- VernacularTitle:肾移植术后马尔尼菲篮状菌肺部感染1例
- Author:
Zeyu CAI
1
;
Yehong YAN
;
Qi XIAO
;
Xingjian ZHANG
;
Chen ZHOU
;
Jialiang HAN
;
Qiong CHEN
Author Information
1. 南昌大学第一附属医院器官移植科，南昌 330006
- Keywords:
Kidney transplantation;
Infection;
Penicillium marneffei;
Pulmonary tuberculosis control
- From:
Chinese Journal of Organ Transplantation
2023;44(7):428-432
- CountryChina
- Language:Chinese
-
Abstract:
Clinical data were retrospectively reviewed for one case of penicillium marneffei infection after renal transplantation (RT) to explore a proper management of peniciliosis marneffei (PSM)transplantation.This case had a history of pulmonary tuberculosis and underwent RT due to uremia.After discharging, postoperative recovery was excellent.Recurrent cough occurred at Month 7 post-operation.Fiberoptic bronchoscopy and pulmonary CT indicated a possibility of pulmonary tuberculosis.However, a definite diagnosis of PSM was confirmed by next generation sequencing (NGS) and pathogenic bacteria culture of alveolar lavage fluid.After adjusting immunosuppressive agents and regular antifungal treatment with voriconazole, respiratory symptoms improved and pulmonary CT hinted at a resorption of lesion.Features of pulmonary CT and bronchoscopic examination were nearly similar to those of tuberculosis.Thus early bacterium culture and NGS may aid an definite diagnosis.Voriconazole is an effective treatment of the disease.
