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肾移植术后肾动脉霉菌性动脉瘤

Renal Arterial Mycotic Aneurysm After Kidney Transplantation.

作者信息

Lazareth Hélène, Burbach Maren, Gosset Clément, Lefaucheur Carmen, Pashootan Pourya, Zagdanski Anne-Marie, Denis Blandine

机构信息

Department of Nephrology and Kidney Transplantation, Saint-Louis Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.

Department of Nephrology and Kidney Transplantation, Saint-Louis Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.

出版信息

Urology. 2017 Aug;106:e7-e8. doi: 10.1016/j.urology.2017.04.046. Epub 2017 May 8.

Abstract

Mycotic aneurysm is a rare condition mostly attributable to Candida or Aspergillus species. About 20 cases of Candida-related arteritis have been reported in kidney transplant patients. Herein, we report the case of a 40-year-old man who received a kidney from a deceased donor in whom an accidental digestive wound was made during organ retrieval. He presented with sudden anuria 47 days after renal transplantation, revealing a large mycotic aneurysm of the kidney graft renal artery. Organs derived from donors in whom a digestive breach is noticed should be used with caution.

摘要

真菌性动脉瘤是一种罕见疾病,主要由念珠菌或曲霉菌引起。肾移植患者中已报道约20例与念珠菌相关的动脉炎病例。在此,我们报告一例40岁男性患者,其接受了来自一名脑死亡供者的肾脏,该供者在器官获取过程中意外造成了消化道损伤。该患者在肾移植术后47天突然无尿,检查发现移植肾肾动脉有一个巨大的真菌性动脉瘤。对于来自发现有消化道穿孔的供者的器官,应谨慎使用。

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