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Case Reports
. 2016 Apr-Jun;32(2):154-5.
doi: 10.4103/0970-1591.179192.

Successful management of renal mucormycosis with antifungal therapy and drainage

Sudheer K Devana  1 , Girdhar S Bora  1 , Ravimohan S Mavuduru  1 , Pankaj Panwar  1 , Nandita Kakkar  2 , Arup K Mandal  1
Affiliations
Case Reports

Successful management of renal mucormycosis with antifungal therapy and drainage

Sudheer K Devana et al. Indian J Urol. 2016 Apr-Jun.

Abstract

We report a case of isolated extensive renal mucormycosis in an immunocompetent adult, who was successfully managed conservatively without surgical debridement. To the best of our knowledge, this is the first case where antifungal therapy alone was sufficient even with such an extensive involvement.

Keywords: Antifungal therapy; immunocompetant adult; renal mucormycosis.

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Figures

Figure 1
Figure 1
(a and b) Contrast enhanced computed tomography scan showing nonenhancing right renal mass with extensive involvement of surrounding structures
Figure 2
Figure 2
(a) High power view shows areas of necrosis and faint fungal profiles (periodic acid-Schiff, ×400) (b) many broad, aseptate fungal profiles are seen which are easily foldable upon themselves confirming the morphology of mucor (Grocott methanamine stain, ×200)
Figure 3
Figure 3
(a) Follow-up computed tomography scan at 2 months showing a diffuse hypodense area involving renal fossa suggestive of extensive liquefaction. (b) Follow-up computed tomography scan at 8 months showing residual small hypodense lesion in the renal fossa
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References

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    1. Gupta KL, Joshi K, Sud K, Kohli HS, Jha V, Radotra BD, et al. Renal zygomycosis: An under-diagnosed cause of acute renal failure. Nephrol Dial Transplant. 1999;14:2720–5. - PubMed
    1. Verma R, Vij M, Agrawal V, Jain M. Renal mucormycosis in immunocompetent patients: Report of three cases. Basic Appl Pathol. 2011;4:66–70.
    1. Chakrabarti A, Das A, Sharma A, Panda N, Das S, Gupta KL, et al. Ten years’ experience in zygomycosis at a tertiary care centre in India. J Infect. 2001;42:261–6. - PubMed

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