You are here

Enterokok ve Kandida Enfeksiyonuna Bağlı Kadaverik Renal Transplantasyon Alıcısında Gelişen Arteryel Mikotik Anevrizma Rüptürü

Arterial Mycotic Aneurysm Rupture of Two Kidney Cadaveric Renal Transplantation Recipients Secondary to Enterococci and Candida

Journal Name:

Publication Year:

DOI: 
10.5262/tndt.2010.1001.08
Abstract (2. Language): 
Although vascular complications due to the arterial anastomosis are rare in transplant patients, infectious vascular complications around the anastomosis site that carry a risk of rupture can cause significant mortality and morbidity. Signs and symptoms of any infectious process can be masked in patients taking more potent immunosuppressants at the early period after transplantation. Staphylococcus aureus, gram-negative bacilli, and fungi such as Candida albicans can especially produce serious complications. We present two renal transplant patients with an arterial anastomosis aneurysm leading to rupture. Early diagnosis may be life saving due to the silent and insidious presentation of arterial mycotic aneurysms and their high mortality and morbidity rates.
Abstract (Original Language): 
Böbrek transplant hastalarında arteryel anastomoz hatlarından kaynaklanan komplikasyonlar son zamanlarda oldukça nadir olsa da, anlamlı mortalite ve morbiditeye sebep olabilecek enfeksiyöz patolojiler hala görülebilmektedir. Transplant sonrası erken dönemde kullanılan güçlü immünsupresif ilaçlar, klinik bulgu ve semptomları maskeleyebilmektedir. Özellikle Staphylococcus aureus, gram negatif basiller ve Candida albicans gibi mantarlar tehlikeli komplikasyonlar oluşturabilirler. Biz burada arteryel anastomoz hattı enfeksiyonuna sekonder rüptür ile komplike olmuş iki transplant hastasını tartışacağız. Yüksek mortalite ve morbidite riski taşımaları sebebiyle, sessiz ve sinsi gidişatlı arteryel mikotik anevrizmaların erken saptanması, hayat kurtarıcı olabilir.
52-54

REFERENCES

References: 

1 Bijnen AB, Weimar W, Bijlstra AM, Jeekel J: Infections after
transplantation of a contaminated kidney. Scand J Urol Nephrol
Suppl 1985; 92:49-51
2. Fujikata S, Tanji N, Iseda T, Ohoka H, Yokoyama M: Mycotic
aneurysm of the renal transplant artery. Int J Urol 2006; 13(6):820-
823
3. Calviño J, Romero R, Pintos E, Novoa D, Mardaras J, Arcocha V,
Lens XM, Sanchez-Guisande D: Renal artery rupture secondary
to pretransplantation Candida contamination of the graft in two
different recipients. Am J Kidney Dis 1999; 33(1):E3
4. Garrido J, Lerma JL, Heras M, Labrador PJ, García P, Bondía A,
Corbacho L, Tabernero JM: Pseudoaneurysm of the iliac artery
secondary to Aspergillus infection in two recipients of kidney
transplants from the same donor. Am J Kidney Dis 2003; 41(2):488-
492
5. Pluemecke G, Williams J, Elliott D, Paul LC: Renal transplant
artery rupture secondary to Candida infection. Nephron 1992;
61(1):98-101
6. Taksin L, Mallick S, Frachet O, Julien M, Lepennec V, Ficheux
M, Bensadoun H: Mycotic aneurysm and renal transplant. A case
report. Prog Urol. 2009; 19(2):149-152
7. Jordan ML, Cook GT, Cardella CJ: Ten years of experience with
vascular complications in renal transplantation. J Urol 1982; 128(4)
689–692
8. Renigers SA, Spigos DG: Pseudoaneurysm of the arterial
anastomosis in a renal transplant. AJR Am J Roentgenol 1978;
131(3):525–526
9. Rubin RH: Nephrology forum infectious disease complications of
renal transplantation. Kidney Int 1993; 44(1):221-236
10. Matignon M, Botterel F, Audard V, Dunogue B, Dahan K, Lang P,
Bretagne S, Grimbert P: Outcome of renal transplantation in eight
patients with Candida sp. contamination of preservation fluid. Am
J Transplant 2008; 8(3):697-700

Thank you for copying data from http://www.arastirmax.com