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Canadian Journal of Infectious Diseases and Medical Microbiology
Volume 24, Issue 2, Pages e47-e49
http://dx.doi.org/10.1155/2013/603405
Case Report

Sporotrichosis in Renal Transplant Patients

Paulo Gewehr, Bruno Jung, Valerio Aquino, Roberto C Manfro, Fábio Spuldaro, Regis G Rosa, and Luciano Z Goldani

Infectious Diseases Unit and Nephrology Division, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Brazil

Copyright © 2013 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The current report describes two renal transplant recipients who presented with sporotrichosis. In addition, the authors review the general aspects of sporotrichosis in renal transplant recipients reported in the literature. Sporotrichosis is a rare fungal infection in transplant patients and has been reported primarily in renal transplant recipients not treated with antifungal prophylaxis. Extracutaneous forms of sporotrichosis without skin manifestations and no previous history of traumatic injuries have been described in such patients and are difficult to diagnose. Renal transplant recipients with sporotrichosis described in the present report were successfully treated with antifungal therapy including amphotericin B deoxycholate, lipid amphotericin B formulations, fluconazole and itraconazole.