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.
Keywords:
aneurysm; fungal arteritis; kidney transplantation; renal artery rupture.
© 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
MeSH terms
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Adult
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Allografts / blood supply
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Allografts / microbiology*
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Allografts / pathology
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Allografts / surgery
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Antifungal Agents / therapeutic use
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Arteritis / microbiology*
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Arteritis / pathology
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Arteritis / therapy
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Aspergillosis / microbiology*
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Aspergillosis / pathology
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Aspergillosis / therapy
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Aspergillus flavus / isolation & purification*
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Aspergillus flavus / pathogenicity
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Humans
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Kidney / blood supply
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Kidney / microbiology
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Kidney / pathology
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Kidney / surgery
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Kidney Failure, Chronic / surgery*
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Kidney Transplantation / adverse effects*
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Kidney Transplantation / methods
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Male
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Necrosis / microbiology
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Necrosis / therapy
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Nephrectomy
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Renal Artery / microbiology*
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Rupture, Spontaneous / microbiology
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Rupture, Spontaneous / therapy