| CASE REPORT |
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| Year : 2022 | Volume
: 16
| Issue : 4 | Page : 431-434 |
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Brain abscess with unusual organism Staphylococcus hemolyticus in a renal transplant recipient - A case report
Neeharika Jonnalagadda, Swarnalatha Guditi, Uttara Das, Raja Karthik Kalidindi, Sarang Vijayan, Ravi Kumar Patel, Ashish Nayak, Gangadhar Taduri
Department of Nephrology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India
Correspondence Address:
Dr. Swarnalatha Guditi
Department of Nephrology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad - 500 082, Telangana
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijot.ijot_89_20
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The immunosuppressive medications in renal transplant recipients are associated with increased risk of infections, leading to significant morbidity and mortality. Here, we report a case of focal brain abscess, presented to us, 8 months after deceased donor renal transplantation with headache and altered mentation. Patient had a history of fungal pneumonia 3 months before presenting illness and received intravenous liposomal amphotericin B, for 6 weeks. On evaluation, he was found to have brain abscess, with mild graft dysfunction. Computerized tomography-guided stereotactic aspiration of the brain abscess was done which grew Staphylococcus hemolyticus. Intravenous catheter placed for 6 weeks for antifungal therapy for the management of previous fungal pneumonia was thought to be cause of staphylococcal infection. He was managed with intravenous clindamycin and levofloxacin for 6 weeks as per antibiogram and immunosuppressive medications were reduced. After 6 months of follow-up, patient was asymptomatic with normal renal function and minimal immunosuppressive medications.
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