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BMJ Case Rep. 2013 Sep 11;2013. pii: bcr2013200306. doi: 10.1136/bcr-2013-200306.

Renal aspergillosis secondary to renal intrumentation in immunocompetent patient.

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  • 1Department of Urology, King George Medical University Lucknow, Lucknow, Uttar Pradesh, India.

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.

PMID:
24027252
[PubMed - indexed for MEDLINE]
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