Disseminated histoplasmosis presenting as urinary tract obstruction in a renal transplant recipient.
Disseminated histoplasmosis occasionally involves the kidney, but the infection usually does not cause either urinary symptoms or a decrease in renal function. We present a case of disseminated histoplasmosis in a renal transplant recipient who presented with urinary obstruction in the allograft from a sloughed renal papilla infected with the fungus. At the same time the patient had chronic meningitis from Histoplasma capsulatum. The literature on renal involvement with histoplasmosis is reviewed.
Superdock
K R
KR
Department of Medicine, Vanderbilt University Medical Center, Nashville, TN.
Dummer
J S
JS
Koch
M O
MO
Gilliam
D M
DM
Van Buren
D H
DH
Nylander
W A
WA
Richie
R E
RE
MacDonell
R C
RC
Johnson
H K
HK
Helderman
J H
JH
D003251:Constriction, Pathologic / Q000175:diagnosis / Q000209:etiology; D005471:Fluoroscopy; D006660:Histoplasmosis / Q000150:complications*; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis / Q000209:etiology*; D007681:Kidney Papillary Necrosis / Q000209:etiology / Q000473:pathology; D016030:Kidney Transplantation; D008297:Male; D016921:Meningitis, Fungal / Q000150:complications; D008875:Middle Aged; D014057:Tomography, X-Ray Computed