Ullah Syed Rabi, Jamshaid Anila, Zaidi Syed Zafar
Department of Urology, The Indus Hospital, Karachi.
Department of Urology, the Indus Hospital, Karachi.
J Pak Med Assoc. 2016 Jul;66(7):903-4.
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.
原发性肾曲霉菌病虽然是一种罕见疾病，但在免疫功能低下的个体中仍可见到。肾曲霉菌病可能导致局灶性脓肿、真菌球形成，并可能引起输尿管梗阻。治疗包括稳定患者病情、清除真菌球以及给予抗真菌药物。本报告描述了一名55岁糖尿病、高血压女性患者发生局限性原发性肾曲霉菌病并伴有真菌球形成的病例，该患者因上尿路梗阻就诊，通过内镜清除真菌球及静脉注射两性霉素，随后口服伊曲康唑成功治愈。
