Sepsis-like histoplasmosis in a kidney transplant patient

J Bras Nefrol. 2018 Jan-Mar;40(1):95-97. doi: 10.1590/1678-4685-JBN-3767. Epub 2018 Apr 23.
[Article in English, Portuguese]

Abstract

Histoplasmosis is a fungus infection that mainly affects immunosuppressed patients. The authors present a case of a kidney transplant recipient who developed sepsis-like histoplasmosis, na atypical but severe manifestation of the disease. The fungus was found in blood and in a skin biopsy, and the treatment with liposomal amphotericin resulted in hepatotoxicity.

Histoplasmose é uma infecção fúngica que afeta principalmente pacientes imunossuprimidos. Os autores apresentam um caso de uma receptora de transplante de rim que desenvolveu histoplasmose disseminada, uma manifestação atípica, mas grave da doença. O fungo foi encontrado no sangue e na biópsia cutânea, e o tratamento com anfotericina lipossomal resultou em hepatotoxicidade.

Publication types

  • Case Reports

MeSH terms

  • Fatal Outcome
  • Female
  • Histoplasmosis* / diagnosis
  • Histoplasmosis* / drug therapy
  • Humans
  • Kidney Transplantation*
  • Middle Aged
  • Postoperative Complications* / diagnosis
  • Postoperative Complications* / drug therapy
  • Sepsis* / diagnosis
  • Sepsis* / drug therapy