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| CASE REPORT |
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| Year : 2014 |
Volume
: 25 | Issue : 6 | Page
: 1282-1284 |
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Reno-invasive fungal infection presenting as acute renal failure: Importance of renal biopsy for early diagnosis
Priyadarshi Ranjan1, Saurabh Sudhir Chipde1, Saurabh Vashistha1, Neeraj Kumari2, Rakesh Kapoor1
1 Department of Urology and Kidney Transplantation, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India
2 Department of Pathology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India
Correspondence Address:
Dr. Priyadarshi Ranjan
Department of Urology and Kidney Transplantation, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1319-2442.144268
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Renal zygomycosis, caused by invasive fungi, is a rare and potentially fatal infection. The patient usually presents with non-specific symptoms and renal failure. A 34-year-old male non-diabetic and without any predisposing factors for systemic fungal infection presented to the emergency department with diffuse abdominal pain, high-grade fever and acute renal failure with a serum creatinine of 6.5. A computed tomography showed bilateral diffuse globular nephromegaly. A urine smear for fungal examination showed right angle branching hyphae and kidney biopsy showed fungal hyphae within the glomeruli, tubules and interstitium. Although radiological investigations can give us a clue, the definitive diagnosis can only be made by kidney biopsy. A high index of suspicion and timely diagnosis is important for a proper management. |
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