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Disseminated C unninghamella bertholletiae infection with spinal epidural abscess in a kidney transplant patient: case report and literature review
Author(s) -
Navanukroh O.,
Jitmuang A.,
Chayakulkeeree M.,
Ngamskulrungroj P.
Publication year - 2014
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/tid.12251
Subject(s) - medicine , surgery , mucormycosis , epidural abscess , abscess , osteomyelitis , debridement (dental) , soft tissue , kidney transplantation , amphotericin b , transplantation , antifungal , dermatology
C unninghamella bertholletiae is a rare cause of invasive mucormycosis. We report the case of a 42‐year‐old Thai woman who suffered from disseminated C . bertholletiae infection. The patient developed dry cough, sharp shooting pain in the left buttock referred to the left leg, and fever 1 month after undergoing deceased‐donor kidney transplantation. Radiographic studies exhibited multiple pulmonary cavities, osteomyelitis of the sacral spine, epidural abscess along the lumbrosacral spine, and paravertebral soft tissue involvement. Surgical debridement of the epidural abscess concurrent with prolonged intravenous administration of amphotericin B resulted in a good outcome.