Sporotrichosis in a Renal Transplant Patient: A Rare Case Report with a Review of the Literature

Sporotrichosis is a rare form of subacute and chronic fungal infection in renal transplant recipients caused by the ubiquitous fungus Sporothrix schenckii. It is usually described in renal allograft recipients who have not been treated with antifungal prophylaxis. We report a rare case of cutaneous...

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Bibliographic Details
Published in:Saudi journal of kidney diseases and transplantation 2023-01, Vol.34 (1), p.80-83
Main Authors: Sethi, Suman, Mehta, Sudhir, Makkar, Vikas
Format: Article
Language:English
Subjects:
Adult
Antifungal Agents - therapeutic use
Care and treatment
Health aspects
Humans
Infection
Itraconazole
Itraconazole - therapeutic use
Kidney Transplantation - adverse effects
Kidneys
Organ transplant recipients
Skin
Sporotrichosis
Sporotrichosis - diagnosis
Sporotrichosis - drug therapy
Sporotrichosis - microbiology
Tacrolimus
Terbinafine - therapeutic use
Transplantation
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Description
Summary:Sporotrichosis is a rare form of subacute and chronic fungal infection in renal transplant recipients caused by the ubiquitous fungus Sporothrix schenckii. It is usually described in renal allograft recipients who have not been treated with antifungal prophylaxis. We report a rare case of cutaneous sporotrichosis in a 39-year-old renal allograft recipient already on antifungal prophylaxis, who presented with skin lesions. The diagnosis was made from a skin biopsy. The patient had increased tacrolimus levels after starting treatment with itraconazole, which was later changed to terbinafine and cryotherapy. The patient responded to treatment with regression of his lesions.
ISSN:1319-2442
2320-3838
DOI:10.4103/1319-2442.391004