Toledo Mayara Gabriele, Alves Hugo Rodrigues, Cambruzzi Isadora, Pires Laís Lopes, Rossi Mariana, Gonçalves Brito Ana Carolina, D'Avila Freitas Andrea, Zambão da Silva Natalia Chilinque
Fluminense Federal University, Antônio Pedro University Hospital, Niterói, Rio de Janeiro, Brazil.
Niterói Hospital Complex, Rio de Janeiro, Brazil.
Case Rep Infect Dis. 2023 May 3;2023:5575300. doi: 10.1155/2023/5575300. eCollection 2023.
Aspergillosis is an opportunistic mycosis that generally affects the lungs. The fungus was cleared by the immune system of a healthy host. Extrapulmonary forms are very rare, and there are few reports of urinary aspergillosis. In this case report, we describe a 62-year-old woman with systemic lupus erythematosus (SLE) with complaints of fever and dysuria. The patient had recurrent episodes of urinary tract infection and several hospitalizations. A computed tomography revealed an amorphous mass in the left kidney and bladder. After partial resection of the material was referred for analysis, Aspergillus infection was suspected and confirmed by culture. Successful treatment with voriconazole was provided. Diagnosis of localized primary renal Aspergillus infection in a patient with SLE requires careful investigation due to its benign presentation and lack of associated systemic clinical features.
曲霉病是一种通常影响肺部的机会性真菌病。在健康宿主中，该真菌会被免疫系统清除。肺外形式非常罕见，关于泌尿系统曲霉病的报道很少。在本病例报告中，我们描述了一名62岁患有系统性红斑狼疮（SLE）的女性，她有发热和排尿困难的症状。该患者反复出现尿路感染并多次住院。计算机断层扫描显示左肾和膀胱有一个无定形肿块。在对部分切除的材料进行送检分析后，怀疑为曲霉感染，并通过培养得以确诊。给予伏立康唑治疗成功。由于其表现为良性且缺乏相关的全身临床特征，因此对于一名SLE患者诊断局部原发性肾曲霉感染需要仔细检查。
