Invasive fungal infections in renal transplant recipients: about 11 cases

H Trabelsi1, S Néji, H Sellami

  • 1Fungal and parasitic molecular biology laboratory, school of medicine, Sfax University, Sfax, Tunisia.

Abstract

Insights

Invasive fungal infections (IFIs) are rare but serious complications in kidney transplant recipients. Early diagnosis and management are crucial to improve patient outcomes and reduce mortality.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Transplantation Immunology

Background:

  • Invasive fungal infections (IFIs) are significant causes of morbidity and mortality in solid organ transplant recipients.
  • Diagnosis of IFIs can be challenging, and their prognosis is often poor.

Purpose of the Study:

  • To report cases of IFIs in renal transplant recipients at Habib Bourguiba Sfax University Hospital.
  • To identify the primary fungal agents responsible for IFIs in this patient cohort.

Main Methods:

  • A retrospective study was conducted.
  • Data on IFIs in renal transplant recipients were collected from January 1995 to February 2013.

Main Results:

  • 11 cases (3.4%) of IFIs were diagnosed in 321 renal transplant recipients.
  • Common IFIs included pneumocystosis, candidiasis, aspergillosis, cryptococcosis, and mucormycosis.
  • Prolonged corticosteroid and immunosuppressive therapy were major risk factors; only 18% of patients had a favorable treatment outcome.

Conclusions:

  • IFIs are uncommon but critical complications in kidney transplant recipients, contributing to significant morbidity and mortality.
  • Effective prevention, early diagnosis, and appropriate management strategies are essential to improve prognosis and reduce mortality rates in this vulnerable population.

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