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Case Reports
. 2017 Sep-Oct;27(5):392-394.
doi: 10.4103/ijn.IJN_298_16.

Cryptococcal Infection in Transplant Kidney Manifesting as Chronic Allograft Dysfunction

C Agrawal  1 , V Sood  1 , A Kumar  2 , V Raghavan  1
Affiliations
Case Reports

Cryptococcal Infection in Transplant Kidney Manifesting as Chronic Allograft Dysfunction

C Agrawal et al. Indian J Nephrol. 2017 Sep-Oct.

Abstract

Invasive fungal infections (IFIs) are a significant cause of morbidity in solid organ transplant (SOT) recipients. Common causes among them are Aspergillus, Candida, and Cryptococcus. Antifungal prophylaxis has led to decrease in overall incidence of IFI; however, there is very little decline in the incidence of Cryptococcal infections of SOT recipients because effective prophylaxis is not available against this infectious agent. Spectrum of manifestation of Cryptococcal infection varies in immunocompetent and immunocompromised host with subclinical and self-limiting with lungs being the primary site in immunocompetent and central nervous system as the most common site in an immunocompromised host. Other preferred sites are cutaneous, pulmonary, urinary tract (prostate) and the bone. Herein, we describe a young adult renal transplant recipient male diagnosed as a rare case of biopsy proven Cryptococcal infection in transplant kidney manifesting as chronic allograft dysfunction.

Keywords: Chronic allograft dysfunction; Cryptococcosis; invasive fungal infections.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Histopathological examination findings: (a) Photomicrograph (H and E, ×100) renal biopsy showing few sclerosed glomeruli and dense inflammation. (b) Photomicrograph (H and E, ×400) showing numerous, round, refractile fungal yeast form. (c) Photomicrograph (PAS and Grocott, ×400) showing periodic acid–Schiff stain positivity (arrow) and Grocott stain positivity (inset) in the fungal yeast form
See this image and copyright information in PMC

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