Gastric Mucormycosis in a Renal Transplant Patient Treated with Isavuconazole Monotherapy

Gastric Mucormycosis in a Renal Transplant Patient Treated with Isavuconazole Monotherapy

Gani, Imran;Doroodchi, Atbin;Falkenstrom, Kristina;Berry, Holly;Lee, Won;Mulloy, Laura;Saeed, Muhammad;Kapoor, Rajan;Gani, Imran;Doroodchi, Atbin;Falkenstrom, Kristina;Berry, Holly;Lee, Won;Mulloy, Laura;Saeed, Muhammad;Kapoor, Rajan;
case reports in transplantation 2019 Vol. 2019
205
imran2019gastriccase

Abstract

Gastrointestinal mucormycosis is a rare infection in solid organ transplant recipients. Our patient, a 79-year-old male, presented with severe dysphagia and odynophagia about 2 weeks after receiving a renal transplant. An upper gastrointestinal (UGI) endoscopy revealed esophagitis and gastric ulceration, the cultures from which grew Rhizopus species. A usual treatment strategy should include Amphotericin B as monotherapy or in combination with Posaconazole or Isavuconazole for such infections. Our patient was treated with Isavuconazole monotherapy, in an effort to minimize renal toxicity from Amphotericin B to the new allograft. Unique to our case was a successful clinical response and resolution of UGI lesions with Isavuconazole monotherapy. Due to the vagueness of presenting symptoms, such infections can be easily missed in an immunocompromised patient which can have tragic outcomes. Prompt diagnosis and modulation of immunosuppression are essential to decrease mortality and morbidity. Isavuconazole is a novel agent and can be used as a monotherapy for such infections, especially in renal transplant recipients.

Citation

ID: 9950
Ref Key: imran2019gastriccase
Use this key to autocite in SciMatic or Thesis Manager

References

Blockchain Verification

Account:
NFT Contract Address:
0x95644003c57E6F55A65596E3D9Eac6813e3566dA
Article ID:
9950
Unique Identifier:
10.1155/2019/9839780
Network:
Scimatic Chain (ID: 481)
Loading...
Blockchain Readiness Checklist
Authors
Abstract
Journal Name
Year
Title
5/5
Creates 1,000,000 NFT tokens for this article
Token Features:
  • ERC-1155 Standard NFT
  • 1 Million Supply per Article
  • Transferable via MetaMask
  • Permanent Blockchain Record
Blockchain QR Code
Scan with Saymatik Web3.0 Wallet

Saymatik Web3.0 Wallet