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Updated: Jun 16, 2025

Mouse Kidney Transplantation: Models of Allograft Rejection
Published on: October 11, 2014
A Case of Aspergillus Fungal Ball in a Transplant Graft Kidney
Balasubramaniyan T1, Karthick S Subash1, Bharathi Sezhian Anbuselvam1
1Nephrology, Government Kilpauk Medical College, Chennai, IND.
Abstract:
We report a case of an Aspergillus fungal ball in a transplant graft kidney presenting as obstructive nephropathy. This is a rare manifestation considering the usual presentations of Aspergillus infection, which are pulmonary, rhino-cerebral, and disseminated forms. Imaging showed hydronephrosis with an echogenic material in the transplant renal pelvis, which was further found to be the fungal ball. The patient underwent a graft nephrectomy due to severe sepsis, and following that, his condition improved.
Insights
A rare case of Aspergillus fungal ball causing obstructive nephropathy in a transplant kidney was reported. Prompt graft nephrectomy resolved severe sepsis and improved the patient's condition.
Area of Science:
- Nephrology
- Mycology
- Transplant Surgery
Background:
- Aspergillus infections commonly manifest in pulmonary, rhino-cerebral, or disseminated forms.
- Fungal balls in transplant kidneys are an unusual presentation of Aspergillus infection.
- Obstructive nephropathy can arise from fungal ball formation in the renal pelvis.
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