Disseminated Fungal Infections in a Kidney Graft Transplant Recipient: Case Report and Literature Review.

We present a 61-year-old male, retired driver and a farmer from rural Kenya, East Africa, who had end-stage renal disease for 2 years with a background of diabetes mellitus and hypertension. He was on haemodialysis since September 2011. He got kidney graft transplant from a living-related donor in October 2013. Six months later, presented with subcutaneous swellings on lower limb and trunk, for 2 months which were identified to be Aspergillosis and Mucormycosis. The history, clinico-laboratory picture and brief management are given. A review of literature on fungal infections in kidney graft recipients is also presented. Fungal infections are an important cause of morbidity and mortality in renal transplant recipients. The risk factors and the causative agents differ depending on the period after the kidney transplant and the incidence varies depending with the geographical area. The emerging fungal infections and paucity of data regarding their management pose a challenge to the transplant physicians.