XXXX masking an atypical zygomycosis presentation in a kidney transplant recipient.

@entity1 @entity410 @entity2583 @entity101 @entity2379 @entity55 @entity75 @entity229 @entity146 @entity2348 @entity7180 @entity51 @entity1140 @entity1292 @entity7143 @entity6051 @entity867
Immunosuppressive agents increase the vulnerability of solid organ transplant @entity1 to @entity1292 . An atypical clinical presentation of a @entity2348 makes diagnosis and treatment even more challenging in this population. A 54-year-old @entity101 @entity1 underwent a cadaveric kidney transplant after years on hemodialysis. Her treatment included @entity6051 , @entity1140 , and @entity229 . By post-transplant week 8, she had @entity55 followed by progressive @entity410 . Diagnostic work-up, consisting of magnetic resonance imaging of the brain and chest x-ray, showed several cerebral ring-enhancing lesions, and a pulmonary cavitary lesion. @entity7180 was suspected and therapy was started. Skin biopsy was taken from a nodular lesion and culture confirmed @entity7180 . During hospitalization, @entity51 persisted with worsening of @entity75 . She underwent excision of a @entity867 and the final pathologic report showed mucormycosis, revealing the @entity1 's co-infection by 2 different pathogens. After therapy with liposomal @entity2379 and @entity7143 , she has remained stable for more than 1 year. @entity7180 masked and delayed the diagnosis and treatment of a more @entity146 and worrisome organism. @entity2583 , as a non-fatal isolated @entity867 without rhinal involvement, is an atypical presentation, and only a few cases have been reported.
