Near-fatal mucormycosis post-double lung transplant presenting as uncontrolled upper gastrointestinal haemorrhage

Publication date: Available online 19 March 2018
Source:Medical Mycology Case Reports
Author(s): Ciara O'Connor, Ciaran Farrell, Aurelie Fabre, Donna Eaton, Karen Redmond, David G McSharry, John B Conneely, Conor J Shields, Jim J Egan, Margaret M Hannan
Invasive fungal infections in immunosuppressed transplant patients are associated with significant morbidity and mortality. We present a case of splenic mucormycosis post-double lung transplant, presenting as uncontrolled near-fatal upper gastrointestinal haemorrhage, to remind clinicians of the need to consider pre-transplant invasive fungal infection risk factors if an unexpected fungal infection arises in the post-transplant period. This case also highlights the valuable contribution of molecular technology for fungal identification but also the need for clinical correlation.



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