External Iliac artery stent mucormycosis in a renal transplant patient.
A Mucorales infection of an external iliac artery stent in a renal transplant patient is described. Following a kidney transplantation operation and an acute rejection of the transplant, an aneurysm developed at the site of the arterial ligation and three stents were inserted. Two months following insertion of the stents, recurrent episodes of peripheral thromboembolism occurred. Histological examination of the thrombus revealed hyphae characteristic of mucormycosis. A combination of surgical and medical treatment with intravenous liposomal amphotericin B was applied, which led to complete cure of the disease without infection recurrence after 1 year of follow-up.
Liapis
Christos D
CD
Department of Vascular Surgery, Athens University Medical School, Athens, Greece.
Petrikkos
Georgios L
GL
Paraskevas
Kosmas I
KI
Skiada
Anna
A
Nikolaou
Alex C
AC
Tzortzis
Giorgos
G
Kostakis
Alkiviadis G
AG
D058186:Acute Kidney Injury / Q000601:surgery; D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D017541:Aneurysm, False / Q000601:surgery*; D017130:Angioplasty; D000935:Antifungal Agents / Q000627:therapeutic use*; D006084:Graft Rejection; D006801:Humans; D017543:Iliac Aneurysm / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D009091:Mucormycosis / Q000188:drug therapy*; D016459:Prosthesis-Related Infections / Q000188:drug therapy*; D015607:Stents / Q000009:adverse effects*; D016896:Treatment Outcome
D000935:Antifungal Agents; D000666:Amphotericin B