Late aspergilloma of a renal allograft without need for operative management: a case report and review of the literature

Transpl Infect Dis. 2016 Apr;18(2):261-5. doi: 10.1111/tid.12495. Epub 2016 Feb 18.

Abstract

Aspergillus infection localized to the renal allograft is a rare and potentially life-threatening infection and typically requires a combination of operative and medical management. We report the case of a renal allograft aspergilloma in a renal transplant patient presenting 2 years post transplant, successfully managed non-surgically. To our knowledge, this is the first report of a patient presenting with an allograft aspergilloma so long after transplantation and being successfully managed with antifungal therapy alone.

Keywords: Aspergillus fumigatus; aspergilloma; kidney transplant.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Antifungal Agents / administration & dosage
  • Antifungal Agents / therapeutic use
  • Aspergillosis / drug therapy*
  • Aspergillosis / etiology*
  • Caspofungin
  • Echinocandins / administration & dosage
  • Echinocandins / therapeutic use*
  • Humans
  • Immunocompromised Host
  • Kidney Transplantation / adverse effects*
  • Lipopeptides / administration & dosage
  • Lipopeptides / therapeutic use*
  • Male
  • Middle Aged
  • Voriconazole / administration & dosage
  • Voriconazole / therapeutic use*

Substances

  • Antifungal Agents
  • Echinocandins
  • Lipopeptides
  • Caspofungin
  • Voriconazole