TY - JOUR A2 - Andrews, P. A. A2 - Forrest, G. A2 - Klinger, M. AU - Kuy, SreyRam AU - He, Chun AU - Cronin, David C. PY - 2013 DA - 2013/10/22 TI -肾毛霉病:肾毛霉病(mucormycosis)是一种罕见且具有潜在致命性的肾移植并发症。我们描述了两个病例后肾毛霉病死亡供体肾移植。这是美国肾移植术后肾毛霉病的第二篇报道，也是第一例肾毛霉病感染被认为是来自受体的病例。病例A早期表现为移植肾分离的毛霉病。他的血清肌酐和白细胞增多，需要异体移植活检显示毛霉病。他在移植后第11天接受移植肾切除术，接受两性霉素B治疗，并在移植后第22天出院回家。病例B有肾脏毛霉病的晚期表现，之前有皮肤表现。肾移植一年后，他有一个不愈合的膝盖溃疡，活检显示皮肤毛霉菌病。治疗包括积极的清创和两性霉素b。异体移植活检显示毛霉菌病，需要移植肾切除。 He was discharged to a rehabilitation facility and died from noninfectious causes. Review of the published literature of renal mucormycosis cases following kidney transplantation reveals a mortality rate of more than 50%. The key to successful outcome is early recognition, prompt institution of surgical debridement of all infected tissue, and appropriate antifungal therapy. SN - 2090-6943 UR - https://doi.org/10.1155/2013/915423 DO - 10.1155/2013/915423 JF - Case Reports in Transplantation PB - Hindawi Publishing Corporation KW - ER -