Renal transplantationComplicationUrogenital systemAn Unusual Cause of Ureteral Obstruction in a Renal Transplant Recipient: Ureteric Aspergilloma
Section snippets
Case report
A 51-year-old man underwent a live unrelated renal transplantation in August 2003 in India. Chronic glomerulonephritis of unknown etiology was the cause of his end-stage renal disease. The ureterovesical anastomosis was performed by Lich-Gregoir method; a double-J stent was inserted. The postoperative period was uneventful. The patient was discharged on the 7th day. He came to our center for posttransplant follow-up. He received immunosuppressive treatment with prednisolone, mycophenolate
Discussion
Aspergillus usually affects the lungs, central nervous system, sinuses, and skin.7 Urinary tract infections caused by Aspergillus species are uncommon and usually part of systemic hematogenous dissemination. Urinary tract aspergillosis usually presents as either renal or prostatic parenchymal disease or as an obstructing fungus ball.4 Anuria due to bilateral ureteral obstruction with Aspergillus flavus is most rare.8 Previously, this complication only has been reported in two renal transplant
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Cited by (20)
Urological Complications of the Renal Graft
2017, Kidney Transplantation, Bioengineering, and Regeneration: Kidney Transplantation in the Regenerative Medicine EraRenal Allograft Aspergillus Infection Presenting With Obstructive Uropathy: A Case Report
2017, Transplantation ProceedingsCitation Excerpt :To our knowledge, only two reported renal transplant recipients with such complications [23,28]. One case was a relatively young patient who presented early after transplant and died of acute circulatory failure, ischemia, and disseminated infection [23]. The second case was a young patient who received a kidney from his mother and presented after 13 months of transplantation.
Management of isolated aspergilloma causing obstruction of the kidney transplant
2010, American Journal of Kidney DiseasesAspergillosis Osteomyelitis and Joint Infection in a Renal Transplant Recipient
2007, Transplantation ProceedingsUrinary tract aspergillosis in a patient with diabetes who underwent total abdominal hysterectomy
2020, Bangladesh Journal of Obstetrics and Gynecology