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CASE REPORT
Year : 2020  |  Volume : 14  |  Issue : 2  |  Page : 170-171

Knee swelling in a renal transplant recipient


1 Department of Nephrology, PGIMER, Chandigarh, India
2 Department of Cytology and Gynecological Pathology, PGIMER, Chandigarh, India
3 Department of Radiodiagnosis, PGIMER, Chandigarh, India

Correspondence Address:
Dr. Jasmine Sethi
Department of Nephrology, PGIMER, Chandigarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijot.ijot_19_20

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Histoplasma knee infection in a renal transplant recipient has not been reported in the literature. The present case illustrates an interesting case of unilateral Histoplasma monoarthritis in a patient 3 years after renal transplantation who presented with pain and swelling of the right knee. The diagnosis was established by tissue aspiration from a focal lesion in lateral femur condyle. The patient was successfully managed with amphotericin followed by itraconazole with complete resolution of the symptoms. It is important to consider such rare differentials in an immunocompromised patient to avoid delays in treatment.


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