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Reminder of important clinical lesson
CASE REPORT
Isolated renal mucormycosis in a patient with Idiopathic CD4 lymphocytopenia
  1. Jasmine Sethi,
  2. Raja Ramachandran,
  3. Harbir Singh Kohli,
  4. Krishan Lal Gupta
  1. Department of Nephrology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Professor Krishan Lal Gupta, klgupta{at}hotmail.com

Summary

Idiopathic CD4 lymphocytopenia (ICL) is characterised by a low CD4 +lymphocyte count in the absence of HIV or other underlying aetiologies. We report a case of a 17-year-old girl with ICL with autoimmune hepatitis who developed isolated renal mucormycosis, which, to our knowledge, is the first reported case described in literature. Combination therapy with antifungals and surgical resection was done, and the patient improved. This case report illustrates the importance of timely multidisciplinary approach to recognise this highly fatal disease at an early stage.

  • renal system
  • immunology
  • renal intervention

https://doi.org/10.1136/bcr-2018-225234

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    Footnotes

    • Contributors JS: planning, concept, data acquistion and analysis and writing. RR, HSK and KLG: planning, proof reading, analysis. KLG: final corrections and proof reading and interpretetion.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.