Yannam Govardhana Rao, Wrenshall Lucile, Stevens R Brian
Transplant Surgery Division, Department of Surgery, University of Nebraska Medical Center, Omaha, NE 68198-3285, USA.
Case Rep Transplant. 2012;2012:364735. doi: 10.1155/2012/364735. Epub 2012 Mar 7.
Infections remain a major cause of morbidity and mortality in transplant patients. Organ recipients are also susceptible to donor-derived pathogens and the majority of donor infections are easily treatable. Rarely, some pathogens have produced life-threatening complications by compromising the vascular anastomosis. In this case series we report loss of two kidney allografts secondary to vascular complications due to Candida albicans. Both recipients received grafts from a common donor, in whom Candida bacteremia in the donor was not apparent at the time of organ acceptance but became apparent on delayed cultures.
感染仍然是移植患者发病和死亡的主要原因。器官接受者也易感染来自供体的病原体，并且大多数供体感染易于治疗。极少数情况下，一些病原体通过破坏血管吻合术产生危及生命的并发症。在本病例系列中，我们报告了两例因白色念珠菌引起血管并发症导致肾移植失败的病例。两名接受者均接受了来自同一供体的移植物，该供体在器官接受时念珠菌血症并不明显，但在延迟培养时变得明显。
