Khan Z U, Gopalakrishnan G, al-Awadi K, Gupta R K, Moussa S A, Chugh T D, Krajci D
Department of Microbiology, Faculty of Medicine, Kuwait University.
Clin Infect Dis. 1995 Jul;21(1):210-2. doi: 10.1093/clinids/21.1.210.
Renal aspergillomas have been reported only rarely. We report a case of Aspergillus flavus colonization of the renal pelvis and upper ureter of a patient with concomitant urinary schistosomiasis. The diagnosis was based on the demonstration of characteristic hyphal elements on direct microscopy and isolation of the fungus in culture. The patient was successfully treated with liposomal amphotericin B. This case emphasizes the importance of direct microscopic examination of urine specimens for prompt diagnosis of fungal infections of the urogenital system. Renal aspergilloma should be considered in the differential diagnosis of filling defects of the urinary tract, especially in patients who are immunocompromised.
肾曲菌球的报道极为罕见。我们报告一例伴有尿路血吸虫病患者的肾盂和上段输尿管黄曲霉定植病例。诊断基于直接显微镜检查发现特征性菌丝成分以及培养分离出真菌。该患者接受脂质体两性霉素B治疗成功。此病例强调了对尿液标本进行直接显微镜检查对于及时诊断泌尿生殖系统真菌感染的重要性。在尿路充盈缺损的鉴别诊断中应考虑肾曲菌球，尤其是在免疫功能低下的患者中。
