T Balasubramaniyan, Subash Karthick S, Anbuselvam Bharathi Sezhian, R P Senthilkumar, Joseph Jerry
Nephrology, Government Kilpauk Medical College, Chennai, IND.
Cureus. 2024 Jul 16;16(7):e64690. doi: 10.7759/cureus.64690. eCollection 2024 Jul.
We report a case of an Aspergillus fungal ball in a transplant graft kidney presenting as obstructive nephropathy. This is a rare manifestation considering the usual presentations of Aspergillus infection, which are pulmonary, rhino-cerebral, and disseminated forms. Imaging showed hydronephrosis with an echogenic material in the transplant renal pelvis, which was further found to be the fungal ball. The patient underwent a graft nephrectomy due to severe sepsis, and following that, his condition improved.
我们报告一例移植肾中出现曲霉菌球并表现为梗阻性肾病的病例。考虑到曲霉菌感染通常表现为肺部、鼻脑型和播散型，这种表现较为罕见。影像学检查显示移植肾肾盂积水，伴有强回声物质，进一步检查发现该物质为真菌球。患者因严重脓毒症接受了移植肾切除术，术后病情有所改善。
