External Iliac artery stent mucormycosis in a renal transplant patient

Ann Vasc Surg. 2006 Mar;20(2):253-7. doi: 10.1007/s10016-006-9007-1. Epub 2006 Mar 21.

Abstract

A Mucorales infection of an external iliac artery stent in a renal transplant patient is described. Following a kidney transplantation operation and an acute rejection of the transplant, an aneurysm developed at the site of the arterial ligation and three stents were inserted. Two months following insertion of the stents, recurrent episodes of peripheral thromboembolism occurred. Histological examination of the thrombus revealed hyphae characteristic of mucormycosis. A combination of surgical and medical treatment with intravenous liposomal amphotericin B was applied, which led to complete cure of the disease without infection recurrence after 1 year of follow-up.

Publication types

  • Case Reports

MeSH terms

  • Acute Kidney Injury / surgery
  • Adult
  • Amphotericin B / therapeutic use
  • Aneurysm, False / surgery*
  • Angioplasty*
  • Antifungal Agents / therapeutic use*
  • Graft Rejection
  • Humans
  • Iliac Aneurysm / surgery*
  • Kidney Transplantation*
  • Male
  • Mucormycosis / drug therapy*
  • Prosthesis-Related Infections / drug therapy*
  • Stents / adverse effects*
  • Treatment Outcome

Substances

  • Antifungal Agents
  • Amphotericin B