Case of Renal Aspergillus after Heart Transplant: diagnosis and treatment
Abstract
Invasive aspergillosis (IA) is a severe complication after heart transplantation (HTx), with a high mortality rate. Invasive pulmonary aspergillosis (IPA) is the most common presentation. We herein describe a unique case of Renal aspergillosis (RAsp) diagnosed on month 10 post-HTx with no known risk factors for IPA in cardiac transplant recipients. The diagnosis of RAsp was made based on radiographic findings, renal biopsy, and tissue cultures. The patient initially received combined antifungal therapy (caspofungin and voriconazole) without radical or partial nephrectomy, followed by voriconazole maintenance monotherapy with favorable clinical outcomes.
Keywords
Heart transplant; Aspergillus; Invasive aspergillosis; Fungal infection
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pISSN: 2008-6482
eISSN: 2008-6490
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License