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两例由毛霉菌病引起的移植肾动脉血栓形成和自发性破裂病例。

Two cases of transplant renal artery thrombosis and spontaneous rupture caused by mucormycosis.

作者信息

Zhu X, Liu H, Wang W, Song S, Jin M, Hu X, Zhang X

机构信息

Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.

Department of Vascular Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.

出版信息

Transpl Infect Dis. 2015 Jun;17(3):442-8. doi: 10.1111/tid.12387. Epub 2015 May 26.

Abstract

Mucormycosis is an uncommon infectious complication after renal transplantation and is associated with fatal outcomes. We report 2 cases of transplant renal artery thrombosis and spontaneous rupture caused by mucormycosis. As stenosis, thrombosis, and spontaneous rupture of the transplant renal artery began to occur in both cases after renal transplantation, nephrectomy of the transplanted kidney was performed. Postoperative pathological findings in the transplanted kidney revealed an invasive mucormycosis infection in the renal artery. One patient survived, but the other patient died. This report also presents the diagnosis and treatment processes used for this transplant complication.

摘要

毛霉菌病是肾移植后一种罕见的感染性并发症,且与致命后果相关。我们报告2例由毛霉菌病引起的移植肾动脉血栓形成和自发性破裂。由于两例患者在肾移植后均开始出现移植肾动脉狭窄、血栓形成及自发性破裂,遂对移植肾进行了肾切除术。移植肾术后病理检查发现肾动脉存在侵袭性毛霉菌感染。1例患者存活,另1例患者死亡。本报告还介绍了针对这种移植并发症的诊断和治疗过程。

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