Aspergillus infection limited to the anastomosed artery following renal transplantation: a report of 4 cases.
We present 4 cases of Aspergillus fumigatus infection limited to the anastomosed artery following renal transplantation. All grafts were nephrectomized. Two patients received 2 weeks of itraconazole therapy; both showing recurrence of pseudoaneurysms following discontinuation of therapy. Another 2 patients received 3 months of itraconazole therapy without recurrence of pseudoaneurysms. Surgical interventions were life saving. Resection of infected tissues and 3 months of antifungal therapy seemed to give better results than shorter antifungal strategies.
Wang
R
R
Kidney Disease Center, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Wu
J
J
Wang
Y
Y
Huang
H
H
He
Q
Q
Chen
J
J
D000328:Adult; D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000188:drug therapy / Q000382:microbiology*; D001232:Aspergillus fumigatus / Q000302:isolation & purification*; D005260:Female; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D012077:Renal Artery / Q000293:injuries / Q000382:microbiology*
D000935:Antifungal Agents; D017964:Itraconazole