[Non-fatal disseminated mucormycosis in a solid organ transplant] - Inserm - Institut national de la santé et de la recherche médicale Access content directly
Journal Articles Revue des Maladies Respiratoires Year : 2009

[Non-fatal disseminated mucormycosis in a solid organ transplant]


BACKGROUND: Mucormycosis is a rare fungal infection occurring most frequently in immunocompromised patients. The pathogens are filamentous fungi, order of Mucorales. Disseminated mucormycosis is a severe, life treating disease. Early diagnosis is a major determinant for prognosis, however, it remains difficult. The management consists in an early antifungal therapy using lipid formulation of amphotericin B associated with an extensive surgical debridement. Despite this therapeutic of choice, the mortality of disseminated mucormycosis remains high. OBSERVATION: We report the case of disseminated mucormycosis in a 25 years old woman 9 months after a pulmonary transplantation. The clinical presentation included pulmonary and thyroid localization and the pathogen was Absidia corymbifera. The patient survived thanks to a large surgical debridement, and an early antifungal bitherapy by lipid formulation of amphotericin B and posaconazole. CONCLUSION: The re-emergence and the high mortality of mucormycosis in solid organ transplant receiver show the necessity to find new therapeutic approaches. Posaconazole associated with liposomal amphotericin B could be an interesting option to treat disseminated mucormycosis and improve their outcome.
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Dates and versions

inserm-00453180 , version 1 (04-02-2010)


  • HAL Id : inserm-00453180 , version 1
  • PUBMED : 19953048


Clémence Minet, Agnès Bonadona, Alexis Tabah, Alexandre A. Karkas, L. Mescam, et al.. [Non-fatal disseminated mucormycosis in a solid organ transplant]. Revue des Maladies Respiratoires, 2009, 26 (9), pp.998-1002. ⟨inserm-00453180⟩


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