肾毛霉病:2019冠状病毒病感染后表现为单侧肾积水的年轻免疫功能正常的男性。

Case Reports in Nephrology Pub Date : 2022-07-21 eCollection Date: 2022-01-01 DOI:10.1155/2022/3488031
Rabin Nepali, Shreya Shrivastav, Dibya Singh Shah
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引用次数: 2

摘要

毛霉病是一种罕见的侵袭性真菌感染,由毛霉科成员引起,死亡率高。它主要影响免疫功能低下的宿主,如控制不良的糖尿病、既往的实体器官移植、大剂量类固醇和血液恶性肿瘤。该疾病最常见的部位是鼻、脑、皮肤、肺和胃肠道。在这个COVID-19感染的时代,侵袭性毛霉病的发病率显著上升,主要来自东南部。我们报告一例孤立的肾毛霉菌病,在一个表面上健康的个体感染covid -19后表现为单侧肾积水。及时确定高危人群并在多学科小组的参与下高度怀疑,对于诊断和治疗罕见和致命感染至关重要。即使有很长的历史,抗真菌药物和去除源头可以产生良好的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Renal Mucormycosis: Post-COVID-19 Infection Presenting as Unilateral Hydronephrosis in a Young Immunocompetent Male.

Mucormycosis is a rare invasive fungal infection with a high mortality rate caused by members of the family Mucoraceae. It mainly affects immunocompromised hosts such as poorly controlled diabetes mellitus, previous solid organ transplant, high-dose steroids, and hematologic malignancy. The most common sites of the disease are rhinocerebral, the skin, the lungs, and the gastrointestinal tract. In this era of COVID-19 infection, there has been a significant rise in invasive mucormycosis predominantly reported from southeast. We present a case of isolated renal mucormycosis in an apparently healthy individual with post-COVID-19 infection presenting as unilateral hydronephrosis. Timely identifying at-risk populations and having a high degree of suspicion with involvement of multidisciplinary teams are of utmost importance to diagnose and treat a rare and fatal infection. Even if there is a long history, antifungal drugs and removal of the source can result in a good outcome.

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来源期刊
Case Reports in Nephrology
Case Reports in Nephrology Medicine-Nephrology
CiteScore
1.70
自引率
0.00%
发文量
32
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