title: Late aspergilloma of a renal allograft without need for operative management: a case report and review of the literature.
abstract: Aspergillus infection localized to the renal allograft is a rare and potentially life-threatening infection and typically requires a combination of operative and medical management. We report the case of a renal allograft aspergilloma in a renal transplant patient presenting 2 years post transplant, successfully managed non-surgically. To our knowledge, this is the first report of a patient presenting with an allograft aspergilloma so long after transplantation and being successfully managed with antifungal therapy alone.
authors.affiliation: Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
authors.forename: E M
authors.initials: EM
authors.lastname: Shannon
authors.affiliation: Division of Infectious Disease, Department of Medicine, San Francisco School of Medicine, University of California, San Francisco, California, USA.
authors.forename: M J A
authors.initials: MJ
authors.lastname: Reid
authors.affiliation: Division of Infectious Disease, Department of Medicine, San Francisco School of Medicine, University of California, San Francisco, California, USA.
authors.forename: P
authors.initials: P
authors.lastname: Chin-Hong
mesh_terms: D000935:Antifungal Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001228:Aspergillosis / Q000188:drug therapy* / Q000209:etiology*; D000077336:Caspofungin; D054714:Echinocandins / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D016867:Immunocompromised Host; D016030:Kidney Transplantation / Q000009:adverse effects*; D055666:Lipopeptides / Q000008:administration & dosage / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D065819:Voriconazole / Q000008:administration & dosage / Q000627:therapeutic use*
chemical_list: D000935:Antifungal Agents; D054714:Echinocandins; D055666:Lipopeptides; D000077336:Caspofungin; D065819:Voriconazole
keywords: Aspergillus fumigatus; aspergilloma; kidney transplant