title: Percutaneous Management of Systemic Fungal Infection Presenting As Bilateral Renal Fungal Ball.
abstract: Background:Zygomycoses are uncommon, frequently fatal diseases caused by fungi of the class Zygomycetes. The majority of human cases are caused by Mucorales (genus-rhizopus, mucor, and absidia) fungi. Renal involvement is uncommon and urine microscopy, pottasium hydroxide mount, and fungal cultures are frequently negative.Case Presentation:A twenty-one-year-old young unmarried lady presented to our emergency department with bilateral flank pain, fever, nausea, and decreased urine output of one-month duration. She was found to have azotemia with sepsis with bilateral hydronephrosis with a left renal pelvic obstructing stone. Even after nephrostomy drainage and broad spectrum antibiotics, her condition worsened. She developed disseminated fungal infection, and timely systemic antifungal followed by bilateral nephroscopic clearance saved the patient.Conclusion:Although renal fungal infections are uncommon, a high index of suspicion and early antifungal and surgical intervention can give favorable outcomes.
authors.affiliation: Department of Urology, All India Institute of Medical Sciences , New Delhi, India .
authors.forename: Abhishek
authors.initials: A
authors.lastname: Shukla
authors.affiliation: Department of Urology, All India Institute of Medical Sciences , New Delhi, India .
authors.forename: Nitin
authors.initials: N
authors.lastname: Shrivastava
authors.affiliation: Department of ENT, All India Institute of Medical Sciences , New Delhi, India .
authors.forename: Chirom Amit
authors.initials: CA
authors.lastname: Singh
authors.affiliation: Department of Urology, All India Institute of Medical Sciences , New Delhi, India .
authors.forename: Brusabhanu
authors.initials: B
authors.lastname: Nayak
keywords: amphotericin B; disseminated mucormycosis; mucormycosis; renal fungal infection