PT - JOURNAL ARTICLE AU - Narayanaswamy, Supradeep AU - Goradia, Rajvi AU - Bellurkar, Amit AU - Patwardhan, Sujata TI - Isolated renal mucormycosis masquerading as emphysematous pyelonephritis AID - 10.1136/bcr-2022-254501 DP - 2023 Mar 01 TA - BMJ Case Reports PG - e254501 VI - 16 IP - 3 4099 - http://casereports.bmj.com/content/16/3/e254501.short 4100 - http://casereports.bmj.com/content/16/3/e254501.full SO - BMJ Case Reports2023 Mar 01; 16 AB - 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.