13th Congress of the Asian Society of Transplantation: Advances in Kidney TransplantationCase ReportCryptococcal Necrotizing Fasciitis in a Patient After Renal Transplantation—A Case Report
Section snippets
Case Report
A 50-year-old man, who had received a living related preemptive renal transplantation for polycystic kidney disease one year before, presented with painful lesions on both lower extremities and fever. Bacterial cellulitis was suspected and he was hospitalized. Because he had received an ABO-incompatible renal transplantation, double-filtration plasma pheresis and plasma exchange were performed and rituximab was used before the transplantation. Induction immunosuppressants were basiliximab,
Discussion
Cryptococcosis is the third most frequently invasive fungal infection after candidiasis and aspergillosis in organ transplant recipients [2]. The incidence of cryptococcal disease in organ transplant recipients in an earlier cohort (1952–2002) did not differ from that in a more recent cohort (2003–2010), but in renal transplant recipients the incidence in the earlier cohort was higher than that in the recent cohort [3]. The time to onset of cryptococcal disease after transplantation was
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