Document Detail


Unilateral ureteral obstruction caused by Aspergillus, subgenus Nidulantes in a patient on steroid therapy: a case report and review of the literature.
MedLine Citation:
PMID:  19905965     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Young Kyung Yoon; Eun Hae Kang; Kwang Ho In; Min Ja Kim
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Medical mycology     Volume:  48     ISSN:  1460-2709     ISO Abbreviation:  Med. Mycol.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-14     Completed Date:  2010-07-22     Revised Date:  2013-12-13    
Medline Journal Info:
Nlm Unique ID:  9815835     Medline TA:  Med Mycol     Country:  England    
Other Details:
Languages:  eng     Pagination:  647-52     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adrenal Cortex Hormones / 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:
0/Adrenal Cortex Hormones; 0/Antifungal Agents; 0/Pyrimidines; 0/Triazoles; 0/voriconazole

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