title: Massive renal infarction due to mucormycosis in an AIDS patient.
abstract: Isolated renal infection by Mucor 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.
authors.affiliation: Urology Service, Hospital del Mar, Barcelona, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Vesa
authors.forename: O
authors.initials: O
authors.lastname: Bielsa
authors.forename: O
authors.initials: O
authors.lastname: Arango
authors.forename: C
authors.initials: C
authors.lastname: Lladó
authors.forename: A
authors.initials: A
authors.lastname: Gelabert
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D001706:Biopsy; D006801:Humans; D007238:Infarction / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D007668:Kidney / Q000098:blood supply*; D007674:Kidney Diseases / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D008297:Male; D009091:Mucormycosis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D009392:Nephrectomy; D014057:Tomography, X-Ray Computed
chemical_list: D000666:Amphotericin B