Isolated renal mucormycosis.

OBJECTIVE

To report a case of isolated renal mucormycosis in a previously healthy man, and to briefly review the literature relating to this rare condition.

CLINICAL FEATURES

An 18-year-old man presented with a two-month history of fevers followed by two weeks of severe left loin pain. Initial treatment with antibiotics failed and abdominal computed tomography and renal perfusion scans were requested, demonstrating a non-functioning left kidney.

INTERVENTION AND OUTCOME

Nephrectomy was performed, the histology of which was consistent with mucormycosis. Amphotericin B was administered for one month. The patient made a complete recovery and no underlying disorder was found.

CONCLUSIONS

This man is believed to be the first reported Australian with isolated renal mucormycosis, and only the second person worldwide in whom an identifiable underlying disorder was absent.