{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T17:03:36Z","timestamp":1793639016796,"version":"4.5.1"},"reference-count":13,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,5,26]],"date-time":"2015-05-26T00:00:00Z","timestamp":1432598400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Multi\u2010organ procurement is a risk factor for contamination of preservation fluid with intestinal flora including fungi (e.g., <jats:italic>Candida<\/jats:italic>). Transmission of fungal species to the graft vessel can cause mycotic arteritis. This is a very rare but life\u2010threatening complication of renal transplantation. We present 2 cases of renal transplant recipients from the same multi\u2010organ donor. Both recipients suffered from severe hemorrhages from renal graft anastomosis and renal artery pseudoaneurysm due to <jats:italic>Candida albicans<\/jats:italic> arteritis (<jats:styled-content style=\"fixed-case\">CAA<\/jats:styled-content>). The culture of the preservation fluid revealed growth of <jats:italic>Escherichia coli<\/jats:italic>, but neither preservation fluid nor multiple routine blood cultures performed before hemorrhagic complications revealed fungal growth (media non\u2010selective for fungal growth were applied). The first recipient suffered from sudden severe hemorrhage in the area of graft anastomosis on day 10 post surgery (without any preceding clinical or radiological symptoms). This led to urgent surgery and graftectomy, which was complicated by cardio\u2010respiratory arrest with resuscitation in the operating room; despite resuscitation, irreversible brain damage, and subsequent death occurred in the intensive care unit (<jats:styled-content style=\"fixed-case\">ICU<\/jats:styled-content>) 2\u00a0weeks later (on day 24 after transplantation). The second patient underwent urgent vascular surgery on day 22 (after transplantation), because of hemorrhage from a pseudoaneurysm of the graft artery. She required repeated vascular operations, extended antimicrobial and antifungal therapy, and <jats:styled-content style=\"fixed-case\">ICU<\/jats:styled-content> monitoring and, despite these interventions, she died on day 80 after transplantation as a result of <jats:italic>Pseudomonas aeruginosa<\/jats:italic> sepsis. Arteritis of the renal artery in both patients was caused by <jats:italic>C.\u00a0albicans<\/jats:italic>. This was confirmed by histopathology: infiltration of renal artery with budding yeast forming pseudohyphae (Case 1), and the presence of <jats:italic>C.\u00a0albicans<\/jats:italic> in the culture of the renal artery and surrounding tissue (Case 2). We conclude that organ preservation solution should be cultured with use of media selective for fungal growth. As soon as the positive culture is detected, appropriate measures protecting patients against <jats:styled-content style=\"fixed-case\">CAA<\/jats:styled-content> should be undertaken.<\/jats:p>","DOI":"10.1111\/tid.12388","type":"journal-article","created":{"date-parts":[[2015,4,3]],"date-time":"2015-04-03T17:49:15Z","timestamp":1428083355000},"page":"449-455","source":"Crossref","is-referenced-by-count":24,"title":["<i>Candida<\/i> arteritis in kidney transplant recipients: case report and review of the literature"],"prefix":"10.1111","volume":"17","author":[{"given":"A.","family":"D\u0119bska\u2010\u015alizie\u0144","sequence":"first","affiliation":[{"name":"Department of Nephrology, Transplantology and Internal Medicine Medical University of Gda\u0144sk Gda\u0144sk Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0141.","family":"Chrobak","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Transplantology and Internal Medicine Medical University of Gda\u0144sk Gda\u0144sk Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Bzoma","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Transplantology and Internal Medicine Medical University of Gda\u0144sk Gda\u0144sk Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Perkowska","sequence":"additional","affiliation":[{"name":"Department of Transplantation Medicine and Nephrology Transplantation Institute Medical University of Warsaw Warszawa Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Zadro\u017cny","sequence":"additional","affiliation":[{"name":"Department of General, Endocrine and Transplant Surgery Medical University of Gda\u0144sk Gda\u0144sk Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Chamienia","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Transplantology and Internal Medicine Medical University of Gda\u0144sk Gda\u0144sk Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Kostro","sequence":"additional","affiliation":[{"name":"Department of General, Endocrine and Transplant Surgery Medical University of Gda\u0144sk Gda\u0144sk Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Milecka","sequence":"additional","affiliation":[{"name":"Department of General, Endocrine and Transplant Surgery Medical University of Gda\u0144sk Gda\u0144sk Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Bronk","sequence":"additional","affiliation":[{"name":"Department of Clinical Microbiology University Clinical Center of Gda\u0144sk Gda\u0144sk Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z.","family":"\u015aledzi\u0144ski","sequence":"additional","affiliation":[{"name":"Department of General, Endocrine and Transplant Surgery 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