Renal allograft mucomycosis is a rare but potentially fatal fungal infection that can occur in kidney transplant recipients. This case report describes the case of a 43-year-old male with diabetic nephropathy who underwent live-related renal allograft transplantation in March 2024. Three months posttransplant, he presented with fever, acute allograft dysfunction, and pancytopenia, initially suspected to be graft pyelonephritis. However, further investigation, including a fine-needle aspiration, revealed invasive mucormycosis in the graft kidney, confirmed on culture. Despite aggressive treatment with antifungals and supportive care, the patient developed complications including graft nephrectomy, surgical site infections, and pneumonia. Unfortunately, he succumbed to severe sepsis 2 weeks postnephrectomy. This case highlights the rare but fatal risk of mucormycosis in renal transplant recipients.
Ethiraj et al. (Thu,) studied this question.
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