Unilateral ureteral obstruction caused byAspergillus, subgenusNidulantesin a patient on steroid therapy: a case report and review of the literature | Zendy

Young Kyung Yoon | Zendy; Eun Hae Kang | Zendy; Kwang Ho In | Zendy; Min Ja Kim | Zendy

Open Access

Unilateral ureteral obstruction caused byAspergillus, subgenusNidulantesin a patient on steroid therapy: a case report and review of the literature

Author(s) -

Young Kyung Yoon,

Eun Hae Kang,

Kwang Ho In,

Min Ja Kim

Publication year - 2010

Publication title -

medical mycology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.004

H-Index - 86

eISSN - 1460-2709

pISSN - 1369-3786

DOI - 10.3109/13693780903403035

Subject(s) - medicine , voriconazole , aspergillosis , percutaneous nephrostomy , bronchiectasis , hemodialysis , surgery , urinary system , amphotericin b , itraconazole , antifungal , gastroenterology , lung , percutaneous , dermatology , immunology

Urinary tract obstructions caused by Aspergillus bezoars has been reported on rare occasions. We describe in this paper an unusual case caused by an isolate of the Aspergillus nidulantes subgenus, and review the literature on 13 additional cases of ureteral obstruction due to renoureteric aspergillosis so as to provide the characteristics of this disease entity. Our case presented with a unilateral ureteral obstruction and acute renal failure due to Aspergillus bezoars. The patient was immunocompromised having received corticosteroid therapy for chronic obstructive lung disease and bronchiectasis. She was treated successfully with antifungal chemotherapy, including amphotericin B followed by oral voriconazole for about two months and had a percutaneous nephrostomy for one month. The patient's renal function completely recovered after hemodialysis maintenance for six months.

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