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Recovery from T alaromyces marneffei involving the kidney in a renal transplant recipient: A case report and literature review
Author(s) -
Peng Juan,
Chen Zhiyong,
Cai Ruiming,
Huang Xianen,
Lin Liying,
Liang Weixiang,
Xiong Zhongtang,
Chen Juan,
Chen Hui,
Yang Yuexin,
Liu Shaoyan,
Jiang Qingping
Publication year - 2017
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.12710
Subject(s) - medicine , renal transplant , biopsy , penicillium marneffei , kidney , renal biopsy , opportunistic infection , pathology , human immunodeficiency virus (hiv) , immunology , viral disease , coinfection
T alaromyces marneffei is an emerging opportunistic infection among immunocompromised patients. We observe the first native case of disseminated T . marneffei involving the kidney in a renal transplant recipient in mainland China. We describe the comprehensive clinical course, and ultrasound imaging of renal transplant biopsy, pathologic images, and electron microscopy observation of the biopsy specimen, highlighting the relevance of biopsy findings and the blood culture. We also focus on the treatment and good outcome of the patient. Then we review the literature and show the additional 10 reported cases of T . marneffei in renal transplant recipients. In addition, we discuss the new methods of rapid diagnosis of T . marneffei . In brief, timely diagnosis and proper treatment of T . marneffei infection is important in renal transplant recipients.