title: Disseminated Cunninghamella bertholletiae infection with spinal epidural abscess in a kidney transplant patient: case report and literature review.
abstract: Cunninghamella bertholletiae is a rare cause of invasive mucormycosis. We report the case of a 42-year-old Thai woman who suffered from disseminated C. bertholletiae infection. The patient developed dry cough, sharp shooting pain in the left buttock referred to the left leg, and fever 1 month after undergoing deceased-donor kidney transplantation. Radiographic studies exhibited multiple pulmonary cavities, osteomyelitis of the sacral spine, epidural abscess along the lumbrosacral spine, and paravertebral soft tissue involvement. Surgical debridement of the epidural abscess concurrent with prolonged intravenous administration of amphotericin B resulted in a good outcome.
authors: Division of Infectious Diseases and Tropical Medicine, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
authors: O
authors: O
authors: Navanukroh
authors: A
authors: A
authors: Jitmuang
authors: M
authors: M
authors: Chayakulkeeree
authors: P
authors: P
authors: Ngamskulrungroj
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D020093:Cunninghamella / Q000302:isolation & purification*; D020802:Epidural Abscess / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D009091:Mucormycosis / Q000188:drug therapy / Q000382:microbiology*
chemical_list: D000935:Antifungal Agents
keywords: Cunninghamella bertholletiae; kidney transplant; mucormycosis