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Updated: Mar 2, 2026

Murine Kidney Transplant Technique
Published on: October 20, 2015
Renal Arterial Mycotic Aneurysm After Kidney Transplantation
Hélène Lazareth1, Maren Burbach1, Clément Gosset2
1Department of Nephrology and Kidney Transplantation, Saint-Louis Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.
Abstract:
Mycotic aneurysm is a rare condition mostly attributable to Candida or Aspergillus species. About 20 cases of Candida-related arteritis have been reported in kidney transplant patients. Herein, we report the case of a 40-year-old man who received a kidney from a deceased donor in whom an accidental digestive wound was made during organ retrieval. He presented with sudden anuria 47 days after renal transplantation, revealing a large mycotic aneurysm of the kidney graft renal artery. Organs derived from donors in whom a digestive breach is noticed should be used with caution.
Insights
Mycotic aneurysms are rare fungal infections affecting arteries, often seen in kidney transplant recipients. This case highlights a Candida infection in a renal artery aneurysm following transplantation from a donor with a digestive wound.
Area of Science:
- Medical Mycology
- Transplant Surgery
- Vascular Surgery
Background:
- Mycotic aneurysms are uncommon arterial infections, typically caused by Candida or Aspergillus species.
- Candida-related arteritis has been documented in approximately 20 kidney transplant patients.
- The management of deceased donors with potential infectious risks requires careful consideration.
Observation:
- A 40-year-old male recipient developed a mycotic aneurysm of the renal artery graft.
- The kidney graft was sourced from a deceased donor with an accidental digestive wound during organ retrieval.
- Anuria presented 47 days post-transplantation, leading to the diagnosis.
Findings:
- The patient presented with sudden anuria 47 days after receiving a kidney transplant.
- A large mycotic aneurysm was discovered in the renal artery of the transplanted kidney graft.
- The causative agent was identified as Candida species, a known cause of arteritis.
Implications:
- This case underscores the risk of transmitting fungal infections, such as Candida, through organ transplantation.
- Caution is advised when utilizing organs from donors with digestive breaches or other potential sources of infection.
- Early recognition and management of mycotic aneurysms in transplant recipients are crucial for favorable outcomes.
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Aneurysm III: Interprofessional Care
Kidney Transplant III: Nursing Management
Kidney Transplant I: Introduction
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