Infection

, Volume 20, Issue 4, pp 234–236 | Cite as

Massive renal infarction due to mucormycosis in an AIDS patient

  • J. Vesa
  • O. Bielsa
  • O. Arango
  • C. Lladó
  • A. Gelabert
Case Report

Summary

Isolated renal infection byMucor spp. occurs very rarely, even in the immunocompromised host. The mortality of the different forms of mucormycosis reaches 75–100% in most series. Infection of the kidney is usually diagnosed post-mortem. Thus, when renal infection is recognized, aggressive treatment including surgery and amphotericin B is required. We present a case in which a massive left renal infarction was the unique manifestation of mucormycosis in an AIDS patient. Administration of amphotericin B and left nephrectomy were necessary to achieve satisfactory outcome.

Keywords

Public Health Internal Medicine Infectious Disease General Practice Amphotericin 

Massiver Niereninfarkt durch Mucormykose bei einem AIDS-Patienten

Zusammenfassung

Isolierte Mucor-Infektionen der Niere sind auch bei abwehrgeschwächten Patienten eine Seltenheit. In den meisten Serien liegt die Letalität der verschiedenen Formen der Mucormykose bei 75 bis 100%. Meist wird die Infektion der Niere erst autoptisch diagnostiziert. Die Mucormykose der Niere erfordert eine aggressive Therapie mit Operation und Amphotericin B-Behandlung. Wir stellen einen AIDS-Kranken vor, bei dem sich die Mucormykose nur an der Niere manifestierte. Durch operative Entfernung der linken Niere und Behandlung mit Amphotericin B konnte ein zufriedenstellendes Ergebnis erzielt werden.

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Copyright information

© MMV Medizin Verlag GmbH München 1992

Authors and Affiliations

  • J. Vesa
    • 1
  • O. Bielsa
    • 1
  • O. Arango
    • 1
  • C. Lladó
    • 1
  • A. Gelabert
    • 1
  1. 1.Urology ServiceHospital del MarBarcelonaSpain

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