title: Renal aspergilloma presenting with pelvi-ureteric junction Obstruction (PUJO).
abstract: Primary renal aspergillosis, though a rare entity, is still seen in immune compromised individuals. Renal aspergillosis may lead to formation of focal abscesses, fungal bezoars and may cause ureteric obstruction. Treatment involves stabilization of patient and removal of fungal bezoars along with administration of anti-fungal agents. This report describes the case of localized primary renal aspergillosis with fungal bezoars formation in a 55 years old female, diabetic, hypertensive, who presented with upper urinary tract obstruction and was successfully managed by endoscopic removal of fungal bezoars and intravenous amphotericin followed by oral itraconazole.
authors.affiliation: Department of Urology, The Indus Hospital, Karachi.
authors.forename: Syed Rabi
authors.initials: SR
authors.lastname: Ullah
authors.affiliation: Department of Urology, The Indus Hospital, Karachi.
authors.forename: Anila
authors.initials: A
authors.lastname: Jamshaid
authors.affiliation: Department of Urology, the Indus Hospital, Karachi.
authors.forename: Syed Zafar
authors.initials: SZ
authors.lastname: Zaidi
mesh_terms: D000666:Amphotericin B / Q000008:administration & dosage*; D000935:Antifungal Agents / Q000008:administration & dosage; D001228:Aspergillosis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D001630:Bezoars / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D017964:Itraconazole / Q000008:administration & dosage*; D007668:Kidney / Q000000981:diagnostic imaging / Q000382:microbiology; D007674:Kidney Diseases / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D008875:Middle Aged; D016896:Treatment Outcome; D014463:Ultrasonography / Q000379:methods; D014517:Ureteral Obstruction / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D018666:Ureteroscopy / Q000379:methods*
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole; D000666:Amphotericin B
keywords: Renal aspergilloma pelvi ureteric junction obstruction.