2013
DOI: 10.4103/1319-2442.109589
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Candida lung abscesses in a renal transplant recipient

Abstract: We herein report a renal allograft recipient five years post transplant who had bilateral lung abscesses. The abscess grew Candida tropicalis on bronchoalveolar lavage. The patient was administered amphotericin B, but succumbed to massive hemoptysis. The case highlights a fungal complication in renal transplant and need for early suspicion and prompt therapy.

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Cited by 7 publications
(18 citation statements)
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“…A particular problem with fungal lung abscess patients is that they are difficult to distinguish clinically from patients with bacterial sepsis which leads to delay in diagnosis and delay in antifungal therapy. [4] Once candida infection is confirmed, species level identification is must for prediction of antifungal susceptibility. [9] C. tropicalis have moderate level fluconazole resistant hence other antifungal drugs like Amphotericin B or Voriconazole should be considered for treatment.…”
Section: Discussionmentioning
confidence: 99%
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“…A particular problem with fungal lung abscess patients is that they are difficult to distinguish clinically from patients with bacterial sepsis which leads to delay in diagnosis and delay in antifungal therapy. [4] Once candida infection is confirmed, species level identification is must for prediction of antifungal susceptibility. [9] C. tropicalis have moderate level fluconazole resistant hence other antifungal drugs like Amphotericin B or Voriconazole should be considered for treatment.…”
Section: Discussionmentioning
confidence: 99%
“…[10] To our knowledge there are very few cases of lung abscesses due to candida infection. [4,11,12] Gupta A et al (2013) reported a case of 45 year immunosuppressed male patient with history of renal transplant 5 years back. Patient was diagnosed as having C. tropicalis lung abscess and started on Amphotericin B but the patient died due to complications.…”
Section: Discussionmentioning
confidence: 99%
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“…Tuberculosis (TB) has been reported in kidney transplant recipients as an infection with predominance in lungs. Lattes et al in an analysis of the characteristics of adult kidney recipients with TB infection reported a fatal case of hemoptysis developed during the first month of TB treatment [9]. Fungal infections have been associated with hemoptysis in renal transplant recipients.…”
Section: Infectionsmentioning
confidence: 99%