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Apophysomyces elegans - renal mucormycosis in a healthy host: a case report from south India
A J Thomas1, S Shah, M S Mathews
1Department of Urology, Christian Medical College, Vellore - 632 004, Tamil Nadu, India. ajthomas@fastmail.fm
Abstract:
Zygomycosis is an opportunistic fungal infection that seldom occurs in individuals with a competent immune system. Isolated involvement of any organ is rare and only a few cases of renal zygomycosis have been reported. We present an unusual case of renal zygomycosis caused by Apophysomyces elegans in a patient with no known predisposing factor. He presented with flakes in the urine and was found to have a poorly functioning right kidney. Ureterorenoscopy was performed, fungal elements removed and pathological confirmation obtained. The patient subsequently underwent nephrectomy after treatment with amphotericin B. He made an uneventful recovery.
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