Disseminated Cunninghamella bertholletiae infection with spinal epidural abscess in a kidney transplant patient: case report and literature review

作者：Navanukroh O; Jitmuang A^*; Chayakulkeeree M; Ngamskulrungroj P

来源：Transplant Infectious Disease, 2014, 16(4): 658-665.

DOI：10.1111/tid.12251

• Cunninghamella bertholletiae
• mucormycosis
• kidney transplant

Cunninghamella bertholletiae is a rare cause of invasive mucormycosis. We report the case of a 42-year-old Thai woman who suffered from disseminated C.bertholletiae infection. The patient developed dry cough, sharp shooting pain in the left buttock referred to the left leg, and fever 1month after undergoing deceased-donor kidney transplantation. Radiographic studies exhibited multiple pulmonary cavities, osteomyelitis of the sacral spine, epidural abscess along the lumbrosacral spine, and paravertebral soft tissue involvement. Surgical debridement of the epidural abscess concurrent with prolonged intravenous administration of amphotericin B resulted in a good outcome.

• 出版日期2014-8