Splenic abscess due to fungal infection after kidney transplantation; a case report.
Splenic abscess is one of the rare and potentially life-threatening complications after kidney transplantation. Splenic abscess generally occurs in patients who have immunodeficiency state. It becomes more important with the increased use of immunosuppressed drugs and organ transplantation. The clinical presentation of splenic abscess is insidious, often with constitutional symptoms. Left upper quadrant tenderness is an uncommon sign. Therefore, its diagnosis is difficult and requires a high degree of clinical suspicion. We report a case under renal transplantation with recurrent fungal infection in different organs with two episodes of fungemia who died after splenectomy.
Department of Nephrology, Hashemi Nejad Nephrology & Urology Center Hospital, Iran University of Medical Sciences, Tehran, Iran.
Tahereh
T
Malakoutian
Department of Internal Medicine, Kosar Hospital, Semnan university of Medical Sciences, Semnan, Iran.
Maliheh
M
Yarmohamadi
Department of Nephrology, Hashemi Nejad Nephrology & Urology Center Hospital, Iran University of Medical Sciences, Tehran, Iran.
Ronak
R
Mohammadi
Department of Nephrology, Hashemi Nejad Nephrology & Urology Center Hospital, Iran University of Medical Sciences, Tehran, Iran.
Mojgan
M
Asgari
Department of Nephrology, Hashemi Nejad Nephrology & Urology Center Hospital, Iran University of Medical Sciences, Tehran, Iran.
Reyhaneh
R
Mahmoodian
Candidiasis; Immunosuppressive therapy; Renal transplantation; Splenectomy
Am Surg. 2006 Apr;72(4):322-5
16676856
Am J Surg. 1987 Jul;154(1):27-34
3300398
Rinsho Ketsueki. 1992 Aug;33(8):1052-6
1404861
Arch Surg. 1986 May;121(5):580-6
3518659
J Pediatr Surg. 2006 Jan;41(1):e53-6
16410091
Arch Intern Med. 1983 May;143(5):906-12
6679235
Clin Infect Dis. 2008 Mar 1;46(5):696-702
18230039
Clin Infect Dis. 2002 Nov 1;35(9):1135-6
12384850
Circulation. 1990 Nov;82(5 Suppl):IV105-9
2225394
Am J Kidney Dis. 1989 Nov;14(5):408-11
2816933
Blut. 1990 Apr;60(4):242-8
2337685
Am J Hematol. 1998 Jun;58(2):100-4
9625575
Surgery. 1992 Oct;112(4):781-6; discussion 786-7
1411951
J Gastroenterol. 2003;38(12):1197-8
14714263
World J Gastroenterol. 2006 Dec 7;12 (45):7341-5
17143953
World J Gastroenterol. 2006 Jan 21;12(3):460-4
16489650
Arch Intern Med. 1992 Feb;152(2):406-8
1739374
Am J Med. 1991 Aug;91(2):137-41
1867239