title: Renal aspergillosis secondary to renal intrumentation in immunocompetent patient.
abstract: Primary renal aspergillosis is a rare urological entity and immune-compromised persons are commonly prone to it. The clinical presentation resembles that of usual bacterial pyelonephritis. We report a case of localised unilateral renal aspergillosis with obstructive uropathy (hypoplastic contralateral kidney) in a young man, occurring after the endoscopic removal of impacted right upper ureteric calculus in a non-immunocompromised patient. In view of deranged renal function, he was initially managed by percutaneous nephrostomy and DJ stent removal followed by oral voriconazole therapy for 3 weeks. He responded well to the treatment. Subsequently, the patient was free of renal colic, fever and urine culture negative for Aspergillus.
authors.affiliation: Department of Urology, King George Medical University Lucknow, Lucknow, Uttar Pradesh, India.
authors.forename: Sagorika
authors.initials: S
authors.lastname: Paul
authors.forename: Viswajeet
authors.initials: V
authors.lastname: Singh
authors.forename: Satyanarayan
authors.initials: S
authors.lastname: Sankhwar
authors.forename: Manish
authors.initials: M
authors.lastname: Garg
mesh_terms: D000328:Adult; D001228:Aspergillosis / Q000209:etiology* / Q000382:microbiology; D001231:Aspergillus flavus / Q000302:isolation & purification*; D006801:Humans; D007121:Immunocompetence; D008297:Male; D011704:Pyelonephritis / Q000209:etiology* / Q000382:microbiology; D015607:Stents; D014514:Ureteral Calculi / Q000601:surgery*; D018666:Ureteroscopy / Q000009:adverse effects*
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