Rhizomucor hepatosplenic abscesses in a patient with renal and pancreatic transplantation.

Details

Serval ID
serval:BIB_49AD4A752087
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Rhizomucor hepatosplenic abscesses in a patient with renal and pancreatic transplantation.
Journal
Annals of the Royal College of Surgeons of England
Author(s)
Schneider M., Kobayashi K., Uldry E., Demartines N., Golshayan D., Halkic N.
ISSN
1478-7083 (Electronic)
ISSN-L
0035-8843
Publication state
In Press
Peer-reviewed
Oui
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
Fungal infections are generally observed in immunosuppressed patients only, with a diagnostic challenge due to non-specific symptoms. For this reason, appropriate management may be delayed. This case report concerns a 36-year-old man with history of pancreas and kidney transplantation. He had chemotherapy for post-transplant B-cell lymphoma and presented with left upper abdominal pain and fever. Multiple investigations led to a final diagnosis of disseminated abdominal mucormycosis with multiple Rhizomucor abscesses in the liver, spleen and kidney transplant. Treatment was antifungal therapy and laparotomy with splenectomy, wedge resection of two fungal abscesses in segments II and IVb, and segmental left colic resection.
Keywords
Hepatic abscess, Immunosuppression, Mucorales, Multivisceral transplant, Rhizomucor, Splenic abscess
Pubmed
Create date
16/03/2021 9:22
Last modification date
23/03/2021 7:27
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