Pradhan A, Gadela S, Kumar R S V, Kalghatghi A, Pradhan S
Command Hospital, Department of Urology, Era's Lucknow Medical College, Hardoi Road, Lucknow, Uttar Pradesh 226002, India.
Transplant Proc. 2007 Jun;39(5):1664-5. doi: 10.1016/j.transproceed.2007.01.092.
Isolated renal allograft mucormycosis is rare. Only 8 cases have been reported to date, with patient survival in only 3. We recently encountered a case. The presentation was fever and graft dysfunction, which were unresponsive to extended antibiotic treatment and supportive care. It was only after three graft biopsies that mucormycosis was diagnosed and amphotericin B started. Urgent graft nephrectomy was performed, but the patient died of septicemia. In retrospect, we believe that early institution of amphotericin B and graft nephrectomy are needed for patient salvage in this difficult clinical situation.
