Destructive allograft fungal arteritis following simultaneous pancreas-kidney transplantation

Transplantation. 1996 Apr 27;61(8):1172-5. doi: 10.1097/00007890-199604270-00009.

Abstract

Fungal arteritis of the Y graft used to revascularize the whole pancreas graft developed in 2 recipients of simultaneous pancreas-kidney transplant that were performed within 36 hr of each other. The vascular infection became manifest 6-7 days following transplantation. In both patients, the vasculitis culminated in an arterial rupture that required immediate operative intervention. This compromise of the Y grafts contributed to loss of both pancreatic grafts and necessitated vascular reconstruction to reperfuse the lower extremity. To date, both patients continue to experience normal kidney transplant function.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anastomosis, Roux-en-Y
  • Arteritis / etiology*
  • Arteritis / microbiology
  • Candidiasis / etiology*
  • Candidiasis / microbiology
  • Female
  • Humans
  • Kidney Transplantation / adverse effects*
  • Male
  • Middle Aged
  • Pancreas Transplantation / adverse effects*
  • Transplantation, Homologous