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Association of topical amphotericin B lipid complex treatment to standard therapy for rhinomaxillary mucormycosis after liver transplantation: a case report.

Abstract：

:Solid organ transplantation is becoming increasingly more common in the treatment of end-stage organ failure. The advent of newer immunosuppressive protocols and refined surgical techniques has allowed therapy to become standard care. Infection is a major and frequently life-threatening complication after transplantation and the incidence of opportunistic fungal infections in organ transplant recipients ranges from 2%-50% depending on the type of organ transplanted. We present a case of rhinomaxillary form of mucormycosis infection after liver transplantation. The succession of multiple risk factors in a torpid postoperative period was a key factor in the development of this disease. Multidisciplinary management with an early diagnosis, aggressive surgery, and intravenous and topical antifungal therapy care were definitive for the eradication of infection. The goal of the present report was to show efficacious management including the association of topical treatment with amphotericin B complex lipid to standard therapy and the absence of side effects.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Trasmonte MV,Jiménez JD,Santiago MÁ,Gálvez E,Jerez V,Pérez D,Robles M,Farje VK,Martínez P,Nieto P,Rubio JA

doi

10.1016/j.transproceed.2012.07.081

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

2120-3

issue

7

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(12)00777-4

journal_volume

44

pub_type

杂志文章

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