Late-Onset Allograft Aspergillosis in an HIV-Positive Renal Transplant Recipient: A Case Report

Aspergillus infection of the allograft in renal transplant patients is rare and associated with a high mortality. We report a case of a 21-year-old, human immunodeficiency virus-positive, deceased-donor kidney recipient who presented 1 year after transplant with oliguric kidney injury. A nuclear medicine renal scan revealed absence of flow to the transplanted kidney, and a urine fungal culture was positive for Aspergillus flavus. The diagnosis was confirmed with the presence of fungal hyphae along with thrombosis in the vascular structures in renal allograft pathology. We found no evidence of disseminated aspergillosis or involvement of any other organ in the patient. To our knowledge, this case is the first reported in the literature of late-onset non-disseminated renal-limited aspergillosis in a human immunodeficiency virus-positive renal transplant patient.

[Dermabrasion of the face]

A report is presented on dermabration of the face in 58 patients, most of which were subjected to the treatment for cosmetic reasons. The abrasion was performed under general anaesthesia with a high-speed rotary drill. The results including the complications are evaluated from the viewpoint of the physician as well as from the viewpoint of the treated patient.