肾胰移植患者继发粘孢子菌感染导致胃穿孔。致命的并发症。

Franco R Pascual, Rodrigo Figueroa, Julieta Zanatta-Scattolini, Maximiliano Yance, Carlos Valenzuela, Rogelio Traverso, Octavio Gil
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摘要

粘孢子菌病是一种罕见的深部真菌感染,主要发生在免疫抑制患者身上,以胃肠道感染为主。适当的治疗包括快速、积极的外科清创,以及使用脂质体两性霉素 B 进行初步辅助治疗。尽管近年来在治疗该病方面取得了进展,但预后不良,死亡率很高。我们将介绍一例 37 岁男性患者的病例,他接受了胰腺和肾脏联合移植手术,深部粘孢子菌继发胃穿孔。
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Gastric perforation secondary to mucormycosis infection in a kidney-pancreas transplant patient. A fatal complication.

Mucormycosis is a rare deep fungal infection that develops mainly in immunosuppressed patients, being unusual the gastrointestinal presentation. The adequate treatment consists in rapid and aggressive surgical debridement, along with initial adjuvant treatment with liposomal amphotericin B. Despite recent advances in the management of this disease, the prognosis is poor, with a high mortality rate. We will present a case of a 37-year-old male patient, who underwent a combined pancreas and kidney transplant, with gastric perforation secondary to deep mucormycosis.

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