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Ann Thorac Surg 1989;47:617-619
© 1989 The Society of Thoracic Surgeons

Articles

Survival of a recipient of renal transplantation after pulmonary phycomycosis

Jack Hsu, MD*, Julie A. Clayman, MD, Alexander S. Geha, MD

Division of Cardiothoracic Surgery, Department of Surgery, Case Western Reserve University, Cleveland, Ohio, USA

Accepted for publication October 25, 1988.

* Address reprint requests to Dr Hsu, Division of Cardiothoracic Surgery, University Hospitals of Cleveland, 2074 Abington Rd, Cleveland, OH 44106.

A 48-year-old nondiabetic man maintained on prednisone, azathioprine, and cyclosporine after cadaveric renal transplantation developed multiple unilateral phycomycotic pulmonary abscesses. Despite treatment with amphotericin B the patient remained febrile. Surgical resection of these pulmonary abscesses was performed and the patient remains free of disease 1 year after operation. To our knowledge, this patient represents the first reported case of pulmonary phycomycosis in a recipient of renal transplantation without diabetes mellitus.




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