Pelvic aspergillosis with tubo-ovarian abscess in a renal transplant recipient.
Common clinical manifestations of aspergillosis in renal transplant recipients are fever and pulmonary infiltrates, but involvement of the reproductive system is rare. We report a case of pelvic aspergillosis with tubo-ovarian abscess in a renal transplant patient. The patient received a cadaveric renal transplantation, and two episodes of acute rejection were treated with methylprednisolone pulse therapy. Surgical biopsy specimens of pelvic abscess detected by ultrasonogram and CT revealed Aspergillus. With amphotericin B treatment, the patient is well with normalization of erythrocyte sedimentation rate and C-reactive protein.
Kim
S W
SW
Department of Internal Medicine, Chonnam National University Medical School, Kwangju 501-757, Korea.
Nah
M Y
MY
Yeum
C H
CH
Kim
N H
NH
Choi
H S
HS
Juhng
S W
SW
Choi
K C
KC
D018784:Abdominal Abscess / Q000175:diagnosis / Q000382:microbiology*; D000328:Adult; D001228:Aspergillosis / Q000175:diagnosis* / Q000382:microbiology*; D001232:Aspergillus fumigatus / Q000302:isolation & purification; D001706:Biopsy; D002102:Cadaver; D003937:Diagnosis, Differential; D005187:Fallopian Tubes / Q000382:microbiology*; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D010049:Ovarian Diseases / Q000175:diagnosis / Q000382:microbiology*