Lessons Learned From Management of Bilateral Renal Abscesses Caused by Invasive Aspergillosis in a Lung Transplant Recipient: A Case Report.

Abstract

This study presents a rare case of bilateral renal abscess caused by Aspergillus fumigatus in a 50-year-old male patient who underwent lung transplant for interstitial lung disease. The abscess developed as an opportunistic fungal infection as a result of immunosuppression from posttransplant therapy. Imaging studies revealed abscesses in both kidneys. Although percutaneous aspiration was attempted, the patient could not have the procedure because of the small size of the abscesses, requiring surgical intervention for drainage. Aspergillus fumigatus was identified as the causative pathogen. Despite receipt of antifungal therapy and other supportive measures, the patient ultimately did not survive the infection. Fungal infections in transplant recipients require prompt management, including timely administration of antifungal agents and early abscess drainage. This case highlights the importance of considering early aggressive surgical intervention among other treatments to prevent complications when percutaneous drainage is not feasible.