Isolated renal aspergilloma

Aspergilloma localised solely to the kidneys is very rare and poses diagnostic and therapeutic challenges. We present the case of a 35-year-old male with a background of urolithiasis, type II diabetes and chronic kidney disease, who was found to have isolated renal aspergilloma associated with obstr...

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Main Authors: Hasan Al-Ibraheem, George Shaker, Stella Roushias
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442024000421
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author Hasan Al-Ibraheem
George Shaker
Stella Roushias
author_facet Hasan Al-Ibraheem
George Shaker
Stella Roushias
author_sort Hasan Al-Ibraheem
collection DOAJ
description Aspergilloma localised solely to the kidneys is very rare and poses diagnostic and therapeutic challenges. We present the case of a 35-year-old male with a background of urolithiasis, type II diabetes and chronic kidney disease, who was found to have isolated renal aspergilloma associated with obstructing uric acid renal tract calculi. After poor progress to clear the fungal infection and remaining stones with ureteroscopy, he was successfully treated by percutaneous nephrolithotomy (PCNL) to surgically remove fungal balls and calculi. Additionally, he was treated with peri-operative oral and systemic antifungals and post-operative irrigation of the renal collecting system with amphotericin.
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spelling doaj.art-148bbffd226e4d7db63f8fa7eda036c12024-03-19T04:18:33ZengElsevierUrology Case Reports2214-44202024-03-0153102688Isolated renal aspergillomaHasan Al-Ibraheem0George Shaker1Stella Roushias2Corresponding author.; NHS Wales Aneurin Bevan University Health Board, Newport, United KingdomNHS Wales Aneurin Bevan University Health Board, Newport, United KingdomNHS Wales Aneurin Bevan University Health Board, Newport, United KingdomAspergilloma localised solely to the kidneys is very rare and poses diagnostic and therapeutic challenges. We present the case of a 35-year-old male with a background of urolithiasis, type II diabetes and chronic kidney disease, who was found to have isolated renal aspergilloma associated with obstructing uric acid renal tract calculi. After poor progress to clear the fungal infection and remaining stones with ureteroscopy, he was successfully treated by percutaneous nephrolithotomy (PCNL) to surgically remove fungal balls and calculi. Additionally, he was treated with peri-operative oral and systemic antifungals and post-operative irrigation of the renal collecting system with amphotericin.http://www.sciencedirect.com/science/article/pii/S2214442024000421Renal aspirgillomaRenal fungal ballRenal aspergillosis
spellingShingle Hasan Al-Ibraheem
George Shaker
Stella Roushias
Isolated renal aspergilloma
Urology Case Reports
Renal aspirgilloma
Renal fungal ball
Renal aspergillosis
title Isolated renal aspergilloma
title_full Isolated renal aspergilloma
title_fullStr Isolated renal aspergilloma
title_full_unstemmed Isolated renal aspergilloma
title_short Isolated renal aspergilloma
title_sort isolated renal aspergilloma
topic Renal aspirgilloma
Renal fungal ball
Renal aspergillosis
url http://www.sciencedirect.com/science/article/pii/S2214442024000421
work_keys_str_mv AT hasanalibraheem isolatedrenalaspergilloma
AT georgeshaker isolatedrenalaspergilloma
AT stellaroushias isolatedrenalaspergilloma