Case report of hepatic mucormycosis after liver transplantation: successful treatment with liposomal amphotericin B followed by posaconazole sequential therapy

Transplant Proc. 2012 Oct;44(8):2501-2. doi: 10.1016/j.transproceed.2012.07.042.

Abstract

Mucormycosis is a rare but emerging fungal infection complicating solid organ transplantation (SOT), with a cumulative incidence of around 2% during the first year after SOT. The associated mortality rate is high, and surgical debridement is frequently required as part of the treatment along with antifungal therapy based mostly on amphotericin B formulations, We describe here an unusual case of hepatic mucormycosis in a liver transplant recipient that was successfully treated with clinical therapy based on liposomal amphotericin B followed by posaconazole, without surgical resection.

Publication types

  • Case Reports

MeSH terms

  • Amphotericin B / administration & dosage*
  • Antifungal Agents / administration & dosage*
  • Drug Administration Schedule
  • Female
  • Humans
  • Immunosuppressive Agents / adverse effects
  • Liver Diseases / diagnosis
  • Liver Diseases / drug therapy*
  • Liver Diseases / microbiology
  • Liver Transplantation / adverse effects*
  • Mucormycosis / diagnosis
  • Mucormycosis / drug therapy*
  • Mucormycosis / microbiology
  • Time Factors
  • Treatment Outcome
  • Triazoles / administration & dosage*
  • Young Adult

Substances

  • Antifungal Agents
  • Immunosuppressive Agents
  • Triazoles
  • liposomal amphotericin B
  • posaconazole
  • Amphotericin B