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Aspergillus infection limited to the anastomosed artery following renal transplantation: a report of 4 cases
Author(s) -
Wang R.,
Wu J.,
Wang Y.,
Huang H.,
He Q.,
Chen J.
Publication year - 2009
Publication title -
transplant infectious disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 67
eISSN - 1399-3062
pISSN - 1398-2273
DOI - 10.1111/j.1399-3062.2009.00402.x
Subject(s) - medicine , itraconazole , discontinuation , surgery , aspergillus fumigatus , transplantation , antifungal , aspergillosis , dermatology , immunology
We present 4 cases of Aspergillus fumigatus infection limited to the anastomosed artery following renal transplantation. All grafts were nephrectomized. Two patients received 2 weeks of itraconazole therapy; both showing recurrence of pseudoaneurysms following discontinuation of therapy. Another 2 patients received 3 months of itraconazole therapy without recurrence of pseudoaneurysms. Surgical interventions were life saving. Resection of infected tissues and 3 months of antifungal therapy seemed to give better results than shorter antifungal strategies.