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Simultaneous coccidioidomycosis and phaeohyphomycosis in a kidney transplant recipient: A case report and literature review.
- Source :
-
Transplant infectious disease : an official journal of the Transplantation Society [Transpl Infect Dis] 2020 Dec; Vol. 22 (6), pp. e13365. Date of Electronic Publication: 2020 Jun 25. - Publication Year :
- 2020
-
Abstract
- Advances in solid organ transplantation have improved the survival of end-stage organ disease at the expense of an increased risk for opportunistic infections. Unusual clinical presentations and the possibility of concurrent infections make diagnosing invasive fungal infection (IFI) more difficult. Here, we present a case of simultaneous vertebral infection caused by Coccidioides immitis-posadasii and subcutaneous phaeohyphomycosis due to Nigrograna mackinnonii in a kidney transplant recipient. The diagnosis of both infections required invasive procedures to obtain tissue and a high index of suspicion that more than one IFI could be present. A multidisciplinary team approach for the management of immunocompromised patients with suspected or diagnosed IFI is warranted.<br /> (© 2020 Wiley Periodicals LLC.)
- Subjects :
- Antifungal Agents therapeutic use
Ascomycota isolation & purification
Biopsy methods
Coccidioides isolation & purification
Coccidioidomycosis drug therapy
Coccidioidomycosis microbiology
Coinfection drug therapy
Humans
Immunocompromised Host
Magnetic Resonance Imaging methods
Male
Middle Aged
Opportunistic Infections diagnosis
Opportunistic Infections drug therapy
Opportunistic Infections microbiology
Phaeohyphomycosis drug therapy
Phaeohyphomycosis microbiology
Polymerase Chain Reaction methods
Treatment Outcome
Coccidioidomycosis diagnosis
Coinfection diagnosis
Coinfection microbiology
Kidney Transplantation adverse effects
Phaeohyphomycosis diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1399-3062
- Volume :
- 22
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Transplant infectious disease : an official journal of the Transplantation Society
- Publication Type :
- Academic Journal
- Accession number :
- 32533741
- Full Text :
- https://doi.org/10.1111/tid.13365