title: Disseminated histoplasmosis presenting as urinary tract obstruction in a renal transplant recipient.
abstract: 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.
authors.affiliation: Department of Medicine, Vanderbilt University Medical Center, Nashville, TN.
authors.forename: K R
authors.initials: KR
authors.lastname: Superdock
authors.forename: J S
authors.initials: JS
authors.lastname: Dummer
authors.forename: M O
authors.initials: MO
authors.lastname: Koch
authors.forename: D M
authors.initials: DM
authors.lastname: Gilliam
authors.forename: D H
authors.initials: DH
authors.lastname: Van Buren
authors.forename: W A
authors.initials: WA
authors.lastname: Nylander
authors.forename: R E
authors.initials: RE
authors.lastname: Richie
authors.forename: R C
authors.initials: RC
authors.lastname: MacDonell
authors.forename: H K
authors.initials: HK
authors.lastname: Johnson
authors.forename: J H
authors.initials: JH
authors.lastname: Helderman
mesh_terms: 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