A rare clinical entity as large intrarenal abscess in a typeII diabetic patient due to : Case report.

BACKGROUND AND PURPOSE

Fungal renal abscesses are rare entities associated with significant morbidity and mortality. Affected kidneys can have microabscess, pyelonephritis, pyonephrosis, or papillary necrosis.

CASE REPORT

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.

CONCLUSION

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.