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Isolated Renal Mucormycosis.

R Sriranga, Satyajeet Pawar, Wasim Khot

¹Assistant Professor, Department of Internal Medicine.

The Journal of the Association of Physicians of India

|May 21, 2017

Summary

This summary is machine-generated.

A rare case of renal mucormycosis in an immunocompetent young male is presented. Prompt diagnosis and combined surgical and antifungal treatment led to a full recovery, highlighting effective management strategies for this uncommon fungal infection.

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Area of Science:

Mycology
Infectious Diseases
Urology

Background:

Mucormycosis, a serious fungal infection, is historically documented since 1885.
Isolated renal mucormycosis is uncommon, primarily reported in developing nations.
This condition is exceptionally rare in immunocompetent young males without identifiable risk factors.

Observation:

A young male presented with bilateral hydroureteronephrosis.
Initial misdiagnosis as renal tuberculosis occurred due to the patient's location in a TB-endemic region.
Lack of response to anti-tuberculosis drug (ATT) prompted further investigation.

Findings:

Biopsy confirmed mucormycosis, revealing the true diagnosis.
The patient underwent nephrectomy and received liposomal amphotericin B and oral posaconazole.
Successful treatment resulted in the patient's recovery and return to normal life.

Implications:

This case underscores the importance of considering rare diagnoses even in immunocompetent individuals.
Combined surgical and medical therapy, including novel antifungals, is crucial for managing renal mucormycosis.
Early and accurate diagnosis is vital for favorable outcomes in this rare clinical presentation.