Open AccessIsolated renal nocardiosis in a patient with AIDS: Unusual presentation
Author(s) -
Kanthilatha Pai,
Lakshmi Rao
Publication year - 2009
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/0970-1591.56178
Subject(s) - nocardiosis , medicine , opportunistic infection , kidney , pathology , nephrectomy , presentation (obstetrics) , malakoplakia , nocardia , surgery , immunology , human immunodeficiency virus (hiv) , biology , viral disease , genetics , bacteria
Disseminated or systemic infection with nocardiosis is an opportunistic infection that is seen in immunocompromised individuals and can involve any organ. The primary infection in systemic nocardiosis usually occurs in the lungs and subsequently hematogenous dissemination occurs in other organs of the body. Nocardia infection of the kidney usually manifests as multiple pyelonephritic abscesses. We report a case of isolated renal nocardiosis, without involvement of the lungs or other organs in a patient with AIDS who presented with symptoms of renal failure. The nephrectomy specimen showed multiple calculi in the calyceal system and a tumorous mass with necrotic areas, which histologically showed features of nocardiosis. The case is being presented as this is an unusual manifestation of renal nocardiosis.