, 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


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.


Public Health Internal Medicine Infectious Disease General Practice Amphotericin 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Massiver Niereninfarkt durch Mucormykose bei einem AIDS-Patienten


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.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Raghavan, R., Date, A., Bhaktaviziam, A. Fungal and nocardial infections of the kidney. Histopathology 11 (1987) 9–20.PubMedGoogle Scholar
  2. 2.
    Hawkins, C., Armstrong, D. Fungal infections in the immunocompromised host. Clin. Haematol. 13 (1984) 599–630.PubMedGoogle Scholar
  3. 3.
    Flood, H. D., O'Brien, A. M., Kelly, D. G. Isolated renal mucormycosis. Postgrad. Med. J. 61 (1985) 175–176.PubMedGoogle Scholar
  4. 4.
    Berenguer, J., Solera, J., Moreno, S., Muñoz, P., Parras, F. Mucormicosis. El espectro de la enfermedad en 13 pacientes. Med. Clin. (Barcelona) 94 (1990) 766–772.Google Scholar
  5. 5.
    Kolbeck, P. C., Makhoul, R. G., Bollinger, R. R., Sanfilippo, F. Widely disseminatedCunninghamella mucormycosis in an adult renal transplant patient: case report and review of the literature. Am. J. Clin. Pathol. 83 (1985) 747–753.PubMedGoogle Scholar
  6. 6.
    West, B. C., Kwon-Chung, K. J., King, J. W., Grafton, W. D., Rohr, M. S. Inguinal abscess caused byRhizopus rhizopodiformis: successful treatment with surgery and amphotericin B. J. Clin. Microbiol. 18 (1983) 1384–1387.PubMedGoogle Scholar
  7. 7.
    Del Real, O., Zamora, J., Abud, C., Sada, E., Ponce de León, S., Ruiz-Palacios, G. Mucormicosis. Informe de 14 casos. Rev. Invest. Clin. 35 (1983) 237–240.PubMedGoogle Scholar
  8. 8.
    Ferry, A. P., Abedi, S. Diagnosis and management of rhinoorbitocerebral mucormycosis (phycomycosis). A report of 16 personally observed cases. Ophthalmology 90 (1983) 1096–1104.PubMedGoogle Scholar
  9. 9.
    Stave, G. M., Heimberger, T., Kerkering, T. M. Zygomycosis of the basal ganglia in intravenous drug users. Am. J. Med. 86 (1989) 115–117.CrossRefGoogle Scholar
  10. 10.
    Clark, R., Greer, D. L., Carlisle, T., Carroll, B. Cutaneous zygomycosis in a diabetic HTLV-I seropositive man. J. Am. Acad. Dermatol. 22 (1990) 956–959.PubMedGoogle Scholar
  11. 11.
    Davila, R. M., Moser, S. A., Grosso, L. E. Renal mucormycosis: a case report and review of the literature. J. Urol. 145 (1991) 1242–1244.PubMedGoogle Scholar
  12. 12.
    Haseman, M. K., Blake, K., McDougall, I. R. Indium 111 WBC scan in local and systemic fungal infections. Arch. Intern. Med. 144 (1984) 1462–1463.CrossRefPubMedGoogle Scholar
  13. 13.
    Clemente, C. Tratamiento actual de las micosis sistémicas. Med. Clin. (Barcelona) 81 (1983) 589–594.Google Scholar

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

Personalised recommendations