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논문분류	춘계학술대회 초록집
제목	Colonic mucormycosis mimicking ischemic colitis in a kidney transplant recipient
저자	Young Min Yoon* 1, Young Sang Lyu1, Sun Ae Han1, Byung Chul Shin1, Jong Hoon Chung1, Hyun Lee Kim1
출판정보	2016; 2016(1):
키워드	deceased donor kidney transplantation, Ischemic colitis, Mucormycosis
초록	Background: Mucormycosis is an extremely rare, but potentially life-threatening fungal infection. Methods: Mucormycosis of the gastrointestinal tract manifests with features similar to ischemic colitis. Results: A 48-year-old man with end-stage renal disease due to diabetic nephropathy underwent deceased donor kidney transplantation. He complained of abdominal pain and distension on postoperative day 17. A computed tomography (CT) scan revealed symmetrical wall thickening of the ascending colon, which was consistent with ischemic colitis. However, a follow-up CT scan showed a localized wall-off colon perforation in the hepatic flexure and segmental mural gas in the ascending colon. Microscopic examination obtained from a surgical specimen demonstrated numerous fungal hyphae and spores were noted in the mucosa and submucosa. Mucormycosis was diagnosed according to the clinical findings and morphological features. A total colectomy was performed, however, the patient died 36 days later due to multiple organ failure, despite antifungal agents. Conclusion: The clinician should be informed about fungal infection, such as colonic mucormycosis mimicking ischemic colitis, in kidney transplant patients with diabetes mellitus and treatment should be initiated at the earliest.
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