Kaplan A H, Poza-Juncal E, Shapiro R, Stapleton J T
Department of Internal Medicine, University of North Carolina School of Medicine, Chapel Hill.
Am J Nephrol. 1988;8(2):139-42. doi: 10.1159/000167573.
Rhinocerebral mucormycosis in renal transplant recipients is associated with high mortality and allograft rejection. We report the first case of successful treatment of mucormycosis in a renal transplant recipient receiving ciclosporin and corticosteroids with maintenance of renal function. It is postulated that the relatively specific immunosuppression caused by ciclosporin, together with aggressive medical and surgical intervention, may enable the cure of this life-threatening fungal infection without loss of donor kidney function.
肾移植受者的鼻脑毛霉菌病与高死亡率和移植肾排斥反应相关。我们报告了首例在接受环孢素和皮质类固醇治疗的肾移植受者中成功治疗毛霉菌病并维持肾功能的病例。据推测,环孢素引起的相对特异性免疫抑制,加上积极的药物和手术干预,可能使这种危及生命的真菌感染得以治愈,而不会丧失供肾肾功能。