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Case Reports: Unusual presentation of more common disease/injury
Isolated renal mucormycosis masquerading as emphysematous pyelonephritis
  1. Supradeep Narayanaswamy1,
  2. Rajvi Goradia2,
  3. Amit Bellurkar2 and
  4. Sujata Patwardhan2
  1. 1Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
  2. 2Urology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
  1. Correspondence to Dr Supradeep Narayanaswamy; vidvathpriya{at}gmail.com

Abstract

Mucormycosis is an acute, life-threatening infection and isolated renal involvement is rare. Due to the angioinvasive nature of the disease, it is rapidly progressive and can be lethal if not managed expeditiously. In patients with underlying conditions of immunosuppression, diabetes mellitus, transplantation, COVID-19, intravenous drug and substance use and pyelonephritis, which is unable to be controlled via regular antibiotics, mucormycosis must be considered on the differential and antifungals must be empirically started. Most cases are often diagnosed on histopathology, which causes delayed treatment and resolution. We present a case of emphysematous pyelonephritis diagnosed on imaging and was later found to have mucormycosis on histopathological examination.

  • urinary tract infections
  • drugs misuse (including addiction)
  • urological surgery
  • urology
  • urinary tract infections

https://doi.org/10.1136/bcr-2022-254501

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    Footnotes

    • Contributors SN and RG were responsible for data collection. AB, SP and SN were integral to patient management. All authors were responsible for manuscript writing, literature review and editing.

    • 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.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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