Nagpal A, Pritt BS, Lorenz EC, Amer H, Nasr SH, Cornell LD, Iqbal S, Wilhelm MP. Disseminated microsporidiosis in a renal transplant recipient: case report and review of the literature.
Transpl Infect Dis 2013;
15:526-32. [PMID:
23947513 DOI:
10.1111/tid.12119]
[Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2012] [Revised: 06/05/2012] [Accepted: 02/18/2013] [Indexed: 10/26/2022]
Abstract
Microsporidia are opportunistic pathogens that usually cause a limited disease in the gastrointestinal tract. Occasionally, they can cause disseminated disease. In solid organ transplant recipients, disseminated disease has been reported only rarely. We describe a 68-year-old woman who presented with fever, cough, and acute kidney injury 6 months after kidney transplantation. Dissemination was confirmed by identification of microsporidial spores in urine and bronchoalveolar lavage fluid. Polymerase chain reaction analysis identified the species as Encephalitozoon cuniculi.
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