title: Apophysomyces elegans - renal mucormycosis in a healthy host: a case report from south India.
abstract: 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.
authors.affiliation: Department of Urology, Christian Medical College, Vellore - 632 004, Tamil Nadu, India. ajthomas@fastmail.fm
authors.forename: A J
authors.initials: AJ
authors.lastname: Thomas
authors.forename: S
authors.initials: S
authors.lastname: Shah
authors.forename: M S
authors.initials: MS
authors.lastname: Mathews
authors.forename: N
authors.initials: N
authors.lastname: Chacko
mesh_terms: 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
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B