Potti A, Danielson B, Sen K
Department of Medicine, University of North Dakota School of Medicine, 2101 N Elm St, Fargo, ND 58102, USA.
Am J Kidney Dis. 1998 Jan;31(1):E3. doi: 10.1053/ajkd.1998.v31.pm10074575.
A 60-year-old white man sustained a rupture of the renal artery 6 weeks after a cadaveric kidney transplantation. The bleeding site was repaired, and culture of the hematoma showed an isolated growth of Candida albicans. Blood and urine cultures were negative. Systemic antifungal therapy was initiated. Bleeding from the renal artery recurred, eventually requiring removal of the transplanted kidney. Histopathology of the resected specimen showed budding yeast in the wall of the renal artery, but no evidence of fungal invasion of the kidney. The patient received 6 weeks of amphotericin B therapy and currently remains on hemodialysis therapy.
一名60岁的白人男性在尸体肾移植6周后发生肾动脉破裂。出血部位得到修复，血肿培养显示白色念珠菌单独生长。血培养和尿培养均为阴性。开始进行全身性抗真菌治疗。肾动脉再次出血，最终需要切除移植肾。切除标本的组织病理学检查显示肾动脉壁有芽生酵母菌，但无真菌侵犯肾脏的证据。该患者接受了6周的两性霉素B治疗，目前仍在接受血液透析治疗。
