Singh Vanya, Mohanty Aroop, Narain Tushar Aditya, Kaistha Neelam, Gupta Pratima
Department of Microbiology, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.
Department of Urology, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.
J Family Med Prim Care. 2020 Sep 30;9(9):5062-5065. doi: 10.4103/jfmpc.jfmpc_784_20. eCollection 2020 Sep.
Perinephric and renal abscess are very rare entities with insidious presentation and pose a great diagnostic challenge, common etiology being bacterial. Only less than 30 cases of fungal etiology have been reported in literature. Herein, we report first case of fungal perinephric abscess caused by in a young diabetic female who presented with right flank pain and vomiting. Diagnosis made by CT imaging and culture of USG guided aspiration of perinephric abscess revealed growth of . perinephric abscess requires a very high index of suspicion for diagnosis. Associated high morbidity and mortality rates are likely due to misdiagnosis, therefore fungal perinephric and renal abscess must be kept as differential diagnosis in cases of fever with abdominal pain. Prompt diagnosis and early treatment are important for better outcome. Imaging and microbiological investigations are required for diagnosis, and drainage is indicated for successful therapy.
肾周和肾脓肿是非常罕见的疾病，表现隐匿，诊断极具挑战性，常见病因是细菌感染。文献中仅报道了不到30例真菌病因的病例。在此，我们报告首例由[具体真菌名称未给出]引起的真菌性肾周脓肿，患者为一名年轻糖尿病女性，表现为右侧腰痛和呕吐。通过CT成像以及超声引导下肾周脓肿穿刺抽吸物培养进行诊断，并发现[具体真菌名称未给出]生长。真菌性肾周脓肿的诊断需要高度怀疑。相关的高发病率和死亡率可能是由于误诊导致的，因此在腹痛伴发热的病例中，必须将真菌性肾周和肾脓肿作为鉴别诊断。及时诊断和早期治疗对于获得更好的结果很重要。诊断需要影像学和微生物学检查，引流对于成功治疗是必要的。
