Subramani Vignesh, Sethi Jasmine, Venkatasubramanian Vaishnavi, Shenoy Parthraj, Kundal Chiterlekha, Kumar Rajinder, Kakkar Nandita
Department of Nephrology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Nephrol. 2024 May-Jun;34(3):270-271. doi: 10.4103/ijn.ijn_308_23. Epub 2024 Jan 18.
Renal is a lethal opportunistic infection with extensive tissue invasion leading to infarction. We report a diabetic lady with disseminated fungal pyelonephritis presenting with extensive lytic bony lesions mimicking malignancy. Prompt initiation of antifungal therapy and surgical debridement is the key to successful management. A clinician should have a high index of suspicion for in a patient with non-resolving pyelonephritis and prolonged fever.
肾曲霉病是一种致死性机会性感染,具有广泛的组织侵袭,可导致梗死。我们报告了一位患有播散性真菌性肾盂肾炎的糖尿病女性,其表现为广泛的溶骨性骨病变,类似恶性肿瘤。及时开始抗真菌治疗和手术清创是成功治疗的关键。对于肾盂肾炎未缓解且发热持续的患者,临床医生应高度怀疑肾曲霉病。