免疫功能正常患者的肾毛霉病:附3例报告

Ritu Verma, Mukul Vij, Vinita Agrawal, Manoj Jain
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引用次数: 21

摘要

孤立性肾毛霉病在免疫正常的宿主中是罕见的。我们回顾性分析了去年我科所有肾切除标本和肾活检的组织病理学报告。本文报告3例孤立性肾毛霉病。所有三例患者均表现为急性腹部和肾衰竭。没有人有之前已知的毛霉病易感疾病。1例患者进行了死前诊断。1例真菌培养阳性。我们强调,孤立性肾毛霉菌病可能影响免疫正常的宿主,鉴于肾毛霉菌病预后不良,需要更大的临床怀疑以及时治疗。
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Renal mucormycosis in immunocompetent patients: Report of three cases

Isolated renal mucormycosis is rare in the immunocompetent host. We retrospectively analyzed all histopathology reports of nephrectomy specimens and renal biopsies from our department in the last year. Three patients of isolated renal mucormycosis were identified. All three patients presented with acute abdomen and renal failure. None had a preceding known predisposing disease for mucormycosis. Ante mortem diagnosis was made in one patient. Fungal culture was positive in one case. We emphasize that isolated renal mucormycosis may affect immunocompetent host and greater clinical suspicion is required for prompt treatment in view of poor prognosis associated with renal mucormycosis.

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