title: Renal infarction secondary to invasive aspergillosis in a 5-year-old girl with acute lymphoblastic leukemia.
abstract: Aspergillus species have angioinvasive properties and can involve extrapulmonary organs by hematogenous spread from the lungs. However, renal involvement by Aspergillus is uncommon and is usually associated with the formation of abscesses. We report an unusual case of invasive renal aspergillosis presenting with extensive renal infarction in a 5-year-old girl with acute lymphoblastic leukemia. This case emphasizes the fact that renal aspergillosis initially presents with only renal infarction, and metastatic-embolism by invasive aspergillosis should be considered in differential diagnosis for any focal lesion of kidney in a patient with leukemia.
authors.affiliation: Departments of *Radiology †Pediatrics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
authors.forename: Ju Hyun
authors.initials: JH
authors.lastname: Lee
authors.forename: Soo Ah
authors.initials: SA
authors.lastname: Im
authors.forename: Bin
authors.initials: B
authors.lastname: Cho
mesh_terms: D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D001232:Aspergillus fumigatus / Q000302:isolation & purification*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007238:Infarction / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D007668:Kidney / Q000098:blood supply*; D007674:Kidney Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications* / Q000473:pathology; D011379:Prognosis
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B