Invasive filamentous fungal infections associated with renal transplant tourism: Short communication

S. Shoham, F. Hinestrosa, J. Moore, S. O'Donnell, M. Ruiz, J. Light

Research output: Contribution to journalArticle

Abstract

'Transplant tourism,' the practice of traveling abroad to acquire an organ, has emerged as an issue in kidney transplantation. We treated a patient who developed invasive aspergillosis of the allograft vascular anastomosis after receiving a kidney transplant in Pakistan, prompting us to review the literature of invasive mycoses among commercial organ transplant recipients. We reviewed all published cases of infections in solid organ transplant recipients who bought their organs abroad and analyzed these reports for invasive fungal infections. Including the new case reported here, 19 cases of invasive fungal infections post commercial kidney transplant occurring in 17 patients were analyzed. Infecting organisms were Aspergillus species (12/19; 63%), Zygomycetes (5/19; 26%), and other fungi (2/19; 5%). Invasive mold infections were present at the transplanted graft in 6/17 patients (35%) with graft loss or death in 13/17 (76%) of patients and overall mortality (10/17) 59%. Invasive fungal infections, frequently originating at the graft site, have emerged as a devastating complication of commercial renal transplant and are associated with high rates of graft loss and death.

Original languageEnglish (US)
Pages (from-to)371-374
Number of pages4
JournalTransplant Infectious Disease
Volume12
Issue number4
DOIs
StatePublished - Aug 1 2010

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Keywords

  • aspergillosis
  • commercial
  • fungal
  • invasive fungal infections
  • kidney transplant
  • mucormycosis
  • transplant
  • transplant tourism

ASJC Scopus subject areas

  • Infectious Diseases
  • Transplantation

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