Pyomyositis in a Patient with IgA Nephropathy and Kidney Transplant.

Case Reports in Transplantation Pub Date : 2019-01-28 eCollection Date: 2019-01-01 DOI:10.1155/2019/7305683
M Xipell, P Ventura-Aguiar, I Revuelta, M Bodro, F Diekmann
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引用次数: 2

Abstract

Infections are among the most common complications transplant physicians face when dealing with solid organ transplant recipients. We present a case of pyomyositis caused by Staphylococcus aureus in a patient with IgA nephropathy and a kidney transplant, under treatment with mTOR inhibitors and prednisone. This entity is a rare intramuscular infection, given the resistance of healthy muscle to colonization. We review the most frequent agents, the diagnostic algorithm, and therapeutic alternatives. We also comment on the role of mTOR inhibitors in this case as possible predisposing factor for the infection.

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IgA肾病合并肾移植患者的化脓炎。
感染是移植医生在处理实体器官移植受者时最常见的并发症之一。我们报告了一例由金黄色葡萄球菌引起的脓性肌炎,患者患有IgA肾病和肾移植,接受mTOR抑制剂和强的松治疗。这种实体是一种罕见的肌肉内感染,考虑到健康肌肉对定植的抵抗力。我们回顾了最常见的药物,诊断算法和治疗方案。我们还评论了mTOR抑制剂在这种情况下作为感染的可能诱发因素的作用。
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