Open AccessUncommon cause of fungemia in a patient with renal cell cancer
Author(s) -
Rashmi Mishra,
Paul Kelly,
Omesh Toolsie,
Puvanalingam Ayyadurai,
Muhammad Adrish
Publication year - 2017
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000008510
Subject(s) - medicine , fungemia , renal cell carcinoma , biopsy , cancer , fluconazole , kidney cancer , nephrectomy , kidney , physical examination , radiology , surgery , pathology , mycosis , dermatology , antifungal
We present an interesting case of Candida lusitaniae infection in a patient diagnosed with renal clear cell carcinoma. An 82-year-old male presented with worsening back pain for 1 week. Physical examination including neurologic examination was normal. A computed tomography scan of the abdomen revealed a mass in the right upper pole of the kidney suggestive of a renal neoplasm. Pathology from a percutaneous biopsy of the kidney revealed clear cell carcinoma. During his hospitalization the patient developed fungemia due to C lusitaniae. He was started on fluconazole, which was later switched to caspofungin due to worsening transaminitis. The patient's clinical status improved and repeat blood cultures were negative for fungal growth. Conclusion: To our knowledge, this is the first case of C lusitaniae reported in a patient diagnosed with clear cell carcinoma of the kidney.