Apophysomyces elegans - renal mucormycosis in a healthy host: a case report from south India.
Zygomycosis is an opportunistic fungal infection that seldom occurs in individuals with a competent immune system. Isolated involvement of any organ is rare and only a few cases of renal zygomycosis have been reported. We present an unusual case of renal zygomycosis caused by Apophysomyces elegans in a patient with no known predisposing factor. He presented with flakes in the urine and was found to have a poorly functioning right kidney. Ureterorenoscopy was performed, fungal elements removed and pathological confirmation obtained. The patient subsequently underwent nephrectomy after treatment with amphotericin B. He made an uneventful recovery.
Thomas
A J
AJ
Department of Urology, Christian Medical College, Vellore - 632 004, Tamil Nadu, India. ajthomas@fastmail.fm
Shah
S
S
Mathews
M S
MS
Chacko
N
N
D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D006801:Humans; D007194:India; D007674:Kidney Diseases / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D008297:Male; D009090:Mucorales / Q000302:isolation & purification*; D009091:Mucormycosis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D009392:Nephrectomy
D000935:Antifungal Agents; D000666:Amphotericin B