新冠肺炎后肾毛霉菌病1例报告

B. Madhumitha, Ganesh Rajagopal, N. Karunakaran, T. Mukuntharajan
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引用次数: 0

摘要

潘多拉的盒子在21世纪被打开,释放出“冠状病毒”。在2019冠状病毒病(COVID-19)大流行期间,毛霉菌病的发病率有所增加,有许多鼻-眶-脑和肺毛霉菌病的病例报告。糖尿病、新冠肺炎和毛霉菌是与高死亡率相关的危险三人组。我们报告一例罕见的64岁糖尿病患者在新冠肺炎后出现肾毛霉病;影像学表现为左肺气肿性肾盂肾炎和膀胱炎,左肾功能不全,左肾主动静脉血栓形成。据我们所知,这是第一例此类病例。高度的临床怀疑和及时识别影像学发现对于提高这类患者的生存机会至关重要。
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Post-Covid Renal Mucormycosis: A Case Report
The Pandora's box has been opened in the twenty-first century unleashing “the Coronavirus.” There has been an increase in the incidence of mucormycosis during this coronavirus disease 2019 (COVID-19) pandemic with many case reports of rhino-orbito-cerebral and pulmonary mucormycosis. Diabetes mellitus, COVID, and Mucor fungus together are a dangerous trio associated with high mortality. We report a rare case of renal mucormycosis following COVID pneumonia in a 64-year-old patient with uncontrolled diabetes; with the imaging findings of left emphysematous pyelonephritis and cystitis, nonfunctioning left kidney, and left main renal artery and vein thrombosis. This is the first such case reported to our knowledge. A high degree of clinical suspicion with prompt recognition of imaging findings is essential to improve the chances of survival in such patients.
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