Fatal invasive aspergillosis in a liver-kidney transplant pa
Invasive aspergillosis remains a problem in solid organs and haematopoietic stem cell transplants.

Published in the Indian Journal of Medical Microbiology, the authors report a case of 12-year-old female with primary hyperoxaluria with regular haemodialysis for the end-stage renal disease.

She underwent a combined liver and renal transplantation which got infected by aspergillosis. In this case study, it is speculated that the most likely source of Aspergillus was contaminated preservative solution (perfusate), resulting in infection within the donor kidney and subsequent systemic infection in the recipient.

Learning Point:-
- This case study calls for critical analysis and needs for the routine culture of the preservative solution before transplantation, to detect any fungal contamination and manage it prophylactically.

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