Opportunistic fungal infection by Fusarium oxysporum in a renal transplant patient.

A white female with chronic glomerular nephritis received a renal transplant in 1971. After 1 year, Livido Reticularis (LR) developed and in 1976 erythematous, painful nodules formed on the LR and ulcerated. The patient also suffered diffuse calcification of the major blood vessels and small arterioles of the extremities with progressive necrosis and gangrene of the fingers. Hyperparathyroidism was evident. The necrotic ulcers yielded Candida albicans and Fusarium oxysporum; both organisms were seen in histological preparations. The ulcers were excised and grafted; no specific antifungal therapy was given.