title: To bite the bullet of early graft nephrectomy: a case report.
abstract: Isolated renal allograft mucormycosis is rare. Only 8 cases have been reported to date, with patient survival in only 3. We recently encountered a case. The presentation was fever and graft dysfunction, which were unresponsive to extended antibiotic treatment and supportive care. It was only after three graft biopsies that mucormycosis was diagnosed and amphotericin B started. Urgent graft nephrectomy was performed, but the patient died of septicemia. In retrospect, we believe that early institution of amphotericin B and graft nephrectomy are needed for patient salvage in this difficult clinical situation.
authors.affiliation: Command Hospital, Department of Urology, Era's Lucknow Medical College, Hardoi Road, Lucknow, Uttar Pradesh 226002, India.
authors.forename: A
authors.initials: A
authors.lastname: Pradhan
authors.forename: S
authors.initials: S
authors.lastname: Gadela
authors.forename: R S V
authors.initials: RS
authors.lastname: Kumar
authors.forename: A
authors.initials: A
authors.lastname: Kalghatghi
authors.forename: S
authors.initials: S
authors.lastname: Pradhan
mesh_terms: D000714:Anastomosis, Surgical; D019867:Anti-Glomerular Basement Membrane Disease / Q000150:complications; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000601:surgery; D016030:Kidney Transplantation / Q000009:adverse effects* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D009392:Nephrectomy; D012077:Renal Artery / Q000601:surgery; D012082:Renal Veins / Q000601:surgery; D012086:Reoperation; D016896:Treatment Outcome