Disseminated mucormycosis presenting as a renal mass in an human immunodeficiency virus-infected patient: A case report

被引:4
作者
Khaba, Moshawa C. [1 ]
Nevondo, Lesedi M. [2 ]
Moroatshehla, Sydney M. [3 ]
Makhado, Ndivhuho A. [4 ]
机构
[1] Sefako Makgatho Hlth Sci Univ, Fac Hlth Sci, Dept Anat Pathol, Natl Hlth Lab Serv, Pretoria, South Africa
[2] Sefako Makgatho Hlth Sci Univ, Fac Hlth Sci, Dept Anat Pathol, Pretoria, South Africa
[3] Sefako Makgatho Hlth Sci Univ, Fac Hlth Sci, Dept Urol, Pretoria, South Africa
[4] Sefako Makgatho Hlth Sci Univ, Fac Hlth Sci, Dept Microbiol, Pretoria, South Africa
关键词
mucormycosis; disseminated; human immunodeficiency virus; AIDS; renal mass;
D O I
10.4102/sajid.v36i1.202
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Mucormycosis, an opportunistic fungal infection, is on the increase. Individuals at risk are those with diabetes mellitus, haematological malignancy, etc. Infections are uncommon in human immunodeficiency virus (HIV). Clinical presentations include rhinocerebral, pulmonary or disseminated forms. Risk factors should alert clinicians to a high index of suspicion. Prompt diagnosis, facilitated by radiological imaging and tissue sampling, with appropriate medical and surgical intervention can potentially improve patient outcomes. Here we describe a rare case of renal mass in a patient living with HIV presenting to casualty department with abdominal pain and fever. Radiological imaging showed a renal mass whilst histopathological findings were suggestive of mucormycosis. Management included antifungal therapy and subsequent nephrectomy. The patient improved significantly and was discharged home.
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页数:4
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