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肾移植术后真菌性动脉炎51例:病例报告及文献复习

Fifty-one cases of fungal arteritis after kidney transplantation: A case report and review of the literature.

作者信息

Tang Maozhi, Xu Xiaosong, Shen Bingbing, Zhang Jun, Li Peng, Pan Qianguang, Mei Mei, Xie Pan, Liu Hong

机构信息

Department of Nephrology, Southwest Hospital, Third Military Medical University, Chongqing, China.

出版信息

Transpl Infect Dis. 2017 Dec;19(6). doi: 10.1111/tid.12781. Epub 2017 Nov 13.

Abstract

Fungal arteritis affecting graft arteries is a rare but life-threatening complication in kidney transplantation (KT). Here, we report the case of a patient with Aspergillus arteritis who experienced renal artery rupture 8 days after KT. We also reviewed 50 other reported cases of fungal arteritis after KT. We found that fungal contamination can occur during kidney graft harvest, preservation, and/or transplantation. Typically, early diagnosis, timely antifungal treatment, and emergency surgery seem crucial for avoiding life-threatening vascular complications.

摘要

影响移植肾动脉的真菌性动脉炎是肾移植(KT)中一种罕见但危及生命的并发症。在此,我们报告一例曲霉性动脉炎患者,该患者在肾移植术后8天发生肾动脉破裂。我们还回顾了其他50例肾移植术后真菌性动脉炎的报道病例。我们发现,在肾移植获取、保存和/或移植过程中可能发生真菌污染。通常,早期诊断、及时抗真菌治疗和急诊手术对于避免危及生命的血管并发症似乎至关重要。

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