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Heart, lung & circulation · Jun 2009
Successful treatment of pulmonary mucormycosis in a renal transplant recipient with limited pulmonary reserve by combined medical and surgical therapy.
- Jordan Y Z Li, Tuck Y Yong, Craig A Jurisevic, Graeme R Russ, David I Grove, P Toby H Coates, and Alex P S Disney.
- Department of Nephrology and Transplantation Services, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia. jordan.li@fmc.sa.gov.au
- Heart Lung Circ. 2009 Jun 1;18(3):226-8.
AbstractMucormycosis is a rare opportunistic fungal infection in renal transplant recipients which is associated with exceedingly high mortality when inadequately treated. Risk factors for this infection include diabetes, neutropaenia and immunosuppression. We report a case of pulmonary mucormycosis in a renal allograft recipient with type 2 diabetes and limited pulmonary reserve. The patient was successfully treated with lobectomy and liposomal amphotericin B with preservation of pulmonary and allograft functions. Early recognition of this infection is warranted before dissemination, which carries a poor prognosis.
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