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Isolated renal mucormycosis masquerading as emphysematous pyelonephritis
Supradeep Narayanaswamy1, Rajvi Goradia2, Amit Bellurkar2
1Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India vidvathpriya@gmail.com.
BMJ Case Reports
|March 17, 2023
Summary
Mucormycosis, a rare but life-threatening fungal infection, can affect the kidneys. Early diagnosis and empirical antifungal treatment are crucial for patients with risk factors like diabetes or immunosuppression.
Area of Science:
- Infectious Diseases
- Nephrology
- Mycology
Background:
- Mucormycosis is an aggressive, life-threatening fungal infection.
- Isolated renal involvement is uncommon but critical.
- Prompt management is essential due to rapid progression.
Observation:
- The case involved emphysematous pyelonephritis, initially diagnosed via imaging.
- Histopathological examination confirmed mucormycosis as the underlying cause.
- This highlights a rare presentation of renal mucormycosis.
Findings:
- Emphysematous pyelonephritis can be a sign of renal mucormycosis.
- Histopathology is key for definitive diagnosis, though often delayed.
- Early consideration of mucormycosis in high-risk patients is vital.
Implications:
- Imaging findings of emphysematous pyelonephritis warrant consideration of mucormycosis.
- Empirical antifungal therapy should be initiated promptly in at-risk individuals.
- Improved diagnostic strategies are needed to reduce treatment delays.
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