이식신에 국소성으로 발생한 침습성 아스페르길루스증 1예

• Published in: Kidney research and clinical practice Vol. 29; no. 2; pp. 300 - 304
• Main Authors: 권오언, O Wen Kwon, 우재곤, Jae Gon Woo, 이지은, Ji Eun Yi, 정경원, Gyung Won Jung, 조성, Sung Cho, 김성록, Sung Rok Kim
• Format: Journal Article
• Language: Korean
• Published: 대한신장학회 30-03-2010
• Subjects: Aspergillus; Invasive aspergillosis; Renal/kidney transplantation; 내과학
• ISSN: 2211-9132; 2211-9140

Though the development of immunosuppressive agents has increased the survival rate of transplanted kidneys, the opportunistic infection has increased in transplant recipients. Aspergillus may cause invasive aspergillosis via sino-pulmonary route in immunocompromized patients. We report a rare case of invasive aspergillosis of a transplanted kidney without having disseminated disease. A 41 year-old female, who underwent cadaveric renal transplantation 10 months ago, presented with diarrhea and anemia. Ultrasound examination and CT scan revealed an abscess lesion in the transplanted kidney. Surgical curettage and percutaneous drainage were performed. Because, microscopic examination demonstrated fungal hyphae consistent with Aspergillus species, antifungal agents were prescribed. Later, partial transplant nephrectomy and embolization of the remnant kidney were performed.