| Unilateral ureteral obstruction caused by Aspergillus, subgenus Nidulantes in a patient on steroid therapy: a case report and review of the literature. | |
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MedLine Citation:
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PMID: 19905965 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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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Authors:
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Young Kyung Yoon; Eun Hae Kang; Kwang Ho In; Min Ja Kim |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Medical mycology : official publication of the International Society for Human and Animal Mycology Volume: 48 ISSN: 1460-2709 ISO Abbreviation: Med. Mycol. Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-14 Completed Date: 2010-07-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9815835 Medline TA: Med Mycol Country: England |
Other Details:
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Languages: eng Pagination: 647-52 Citation Subset: IM |
Affiliation:
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Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Republic of Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adrenal Cortex Hormones
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therapeutic use Antifungal Agents / therapeutic use Aspergillosis / complications*, drug therapy, microbiology Aspergillus nidulans* Bezoars / microbiology Female Humans Immunocompromised Host Middle Aged Pulmonary Disease, Chronic Obstructive / drug therapy Pyrimidines / therapeutic use Triazoles / therapeutic use Ureteral Obstruction / etiology*, microbiology |
| Chemical | |
Reg. No./Substance:
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0/Adrenal Cortex Hormones; 0/Antifungal Agents; 0/Pyrimidines; 0/Triazoles; 0/voriconazole |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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