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Isolated renal mucormycosis

R Pickles1, G Long, R Murugasu

  • 1John Hunter Hospital, New Lambton Heights, NSW.

The Medical Journal of Australia
|April 18, 1994
PubMed
Summary
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This case report details isolated renal mucormycosis in a previously healthy Australian man. This rare fungal infection of the kidney highlights the importance of considering unusual pathogens in unexplained fevers and loin pain.

Area of Science:

  • Nephrology
  • Mycology
  • Infectious Diseases

Background:

  • Renal mucormycosis is a rare and aggressive fungal infection.
  • It typically affects immunocompromised individuals, making isolated cases in healthy individuals noteworthy.

Observation:

  • An 18-year-old previously healthy male presented with prolonged fevers and severe left loin pain.
  • Imaging revealed a non-functioning left kidney, unresponsive to antibiotic treatment.

Findings:

  • Histopathology confirmed mucormycosis of the kidney.
  • Nephrectomy and a one-month course of Amphotericin B led to complete recovery.
  • No underlying immune deficiency or predisposing condition was identified.

Implications:

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  • This case represents the first reported instance of isolated renal mucormycosis in Australia.
  • It is only the second reported case globally in a patient without an identifiable underlying disorder.
  • Highlights the potential for mucormycosis to occur in seemingly healthy individuals, necessitating broader diagnostic considerations.