Mucor infection in renal grafts from the same donor after renal transplantation

  Objective  To summarize the diagnosis and treatment experience of mucor infection in renal grafts.

  Methods  Clinical data of two patients with mucor infection in renal grafts from the same kidney donor that finally caused renal graft and renal artery rupture were retrospectively studied, and the relevant domestic and foreign literatures were reviewed.

  Results and conclusions  Mucor infection after renal transplantation has no specific manifestation, thus it lacks of means of early diagnosis and is easy to cause misdiagnosis and missed diagnosis. Mucor infection is easy to cause vascular rupture and the prognosis is poor. Early diagnosis, thorough debridement, timely selection of effective antifungal agent, withdrawal of immunosuppressant and correction of coagulation disorders under the monitor of thrombelastogram may improve the survival rate of such patients.