Lussier N, Laverdière M, Weiss K, Poirier L, Schick E
Department of Microbiology-Infectious Diseases, Hôpital Maison-neuve-Rosemont, Université de Montréal, Québec, Canada.
Urology. 1998 Nov;52(5):900-3. doi: 10.1016/s0090-4295(98)00287-8.
Primary renal mucormycosis is a rare infection capable of acute illness with sepsis. Few cases have been reported. We report a case of an acute primary renal mucormycosis and review the published reports. The incidence of primary renal mucormycosis has risen in recent years. The most frequently reported underlying predisposing disorders are human immunodeficiency virus infection, intravenous drug abuse, and diabetes mellitus. Primary renal mucormycosis should be suspected in patients with an immunocompromising illness or particular risk factors, when persistent flank pain and fever with sterile urine not responding to appropriate antibiotics are associated with enlarged heterogeneous kidneys.
原发性肾毛霉病是一种罕见的感染性疾病，可引发伴有败血症的急性病症。鲜有病例报道。我们报告一例急性原发性肾毛霉病病例，并对已发表的报告进行综述。近年来，原发性肾毛霉病的发病率有所上升。最常报道的潜在诱发疾病是人类免疫缺陷病毒感染、静脉药物滥用和糖尿病。对于患有免疫功能低下疾病或具有特定风险因素的患者，当出现持续的胁腹疼痛、发热且无菌尿对抗生素治疗无反应，同时伴有肾脏肿大且不均质时，应怀疑原发性肾毛霉病。
