Disseminated histoplasmosis presenting as urinary tract obstruction in a renal transplant recipient.

作者信息

Superdock K R, Dummer J S, Koch M O, Gilliam D M, Van Buren D H, Nylander W A, Richie R E, MacDonell R C, Johnson H K, Helderman J H

机构信息

Department of Medicine, Vanderbilt University Medical Center, Nashville, TN.

出版信息

Am J Kidney Dis. 1994 Apr;23(4):600-4. doi: 10.1016/s0272-6386(12)80386-6.

DOI:10.1016/s0272-6386(12)80386-6

PMID:8154500

Abstract

Disseminated histoplasmosis occasionally involves the kidney, but the infection usually does not cause either urinary symptoms or a decrease in renal function. We present a case of disseminated histoplasmosis in a renal transplant recipient who presented with urinary obstruction in the allograft from a sloughed renal papilla infected with the fungus. At the same time the patient had chronic meningitis from Histoplasma capsulatum. The literature on renal involvement with histoplasmosis is reviewed.

摘要