Chandra Abhilash, Rao Namrata, Das Anupam, Sen Manodeep
Department of Nephrology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Vibhuti Khand, Gomti Nagar, Lucknow, India.
Department of Microbiology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Vibhuti Khand, Gomti Nagar, Lucknow, India.
Curr Med Mycol. 2019;5(4):54-57. doi: 10.18502/cmm.5.4.2150.
Fungal renal abscesses are rare entities associated with significant morbidity and mortality. Affected kidneys can have microabscess, pyelonephritis, pyonephrosis, or papillary necrosis.
Herein, we reported an unusual case of a large renal abscess cause by in a diabetic patient. The entity presented as a lump in the abdomen and later was diagnosed to be an abscess on computed tomography scan. was confirmed on the culture of the aspirate. The abscess was successfully treated by percutaneous drainage and administration of amphotericin B deoxycholate.
is now a global concern because of its rising prevalence and high virulence. The growing resistance of this species to azoles, as in our case, calls for a more judicious usage of antifungal agents. Empirical therapy with either amphotericin or echinocandins is an option in case of high azole resistance. This case highlights the importance of timely diagnosis and implementation of aggressive management in cases suffering from fungal abscesses.
真菌性肾脓肿是罕见疾病，与显著的发病率和死亡率相关。受影响的肾脏可出现微脓肿、肾盂肾炎、肾积脓或乳头坏死。
在此，我们报告了一例糖尿病患者由[未提及具体病因]引起的巨大肾脓肿的罕见病例。该病例最初表现为腹部肿块，后来经计算机断层扫描诊断为脓肿。[未提及具体内容]经抽吸物培养得以证实。通过经皮引流和给予去氧胆酸两性霉素B成功治疗了该脓肿。
[未提及具体内容]由于其患病率上升和高毒力，现已成为全球关注的问题。如我们病例中所示，该[未提及具体物种]对唑类药物的耐药性不断增加，这就要求更明智地使用抗真菌药物。在对唑类药物高度耐药的情况下，经验性使用两性霉素或棘白菌素是一种选择。本病例强调了在真菌性脓肿病例中及时诊断和实施积极治疗的重要性。
