Renal Mucormycosis with Disseminated Lytic Bony Lesions
Vignesh Subramani1, Jasmine Sethi1, Vaishnavi Venkatasubramanian1
1Department of Nephrology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Abstract:
Renal Mucormycosis is a lethal opportunistic infection with extensive tissue invasion leading to infarction. We report a diabetic lady with disseminated fungal pyelonephritis presenting with extensive lytic bony lesions mimicking malignancy. Prompt initiation of antifungal therapy and surgical debridement is the key to successful management. A clinician should have a high index of suspicion for Mucormycosis in a patient with non-resolving pyelonephritis and prolonged fever.
Insights
Renal mucormycosis is a deadly fungal infection causing tissue damage. Early antifungal treatment and surgery are crucial for diabetic patients with this severe pyelonephritis.
Area of Science:
- Nephrology
- Mycology
- Oncology
Background:
- Renal mucormycosis is a rare, invasive fungal infection.
- It is associated with high mortality and extensive tissue damage.
Observation:
- A case of disseminated fungal pyelonephritis in a diabetic patient is presented.
- The patient exhibited extensive lytic bone lesions that mimicked malignancy.
Findings:
- The fungal infection led to significant renal tissue invasion and infarction.
- The presentation mimicked metastatic cancer due to lytic bone lesions.
Implications:
- Prompt antifungal therapy and surgical debridement are vital for managing renal mucormycosis.
- Clinicians must maintain a high suspicion for mucormycosis in non-resolving pyelonephritis with prolonged fever, especially in diabetic patients.
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