Mucormycosis and acute kidney injury

Mucormycosis, although said to be less common than candidiasis and aspergillosis is becoming increasingly associated with many co-morbid conditions and immunosuppression. Renal involvement, rarely reported previously, has also been documented with increasing frequency in recent times in both disease...

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Main Authors: Krishan L Gupta, Aakriti Gupta
Format: Article
Language:English
Published: Society of Diabetic Nephropathy Prevention 2012-10-01
Series:Journal of Nephropathology
Subjects:
Online Access:https://nephropathol.com/PDF/JNP-1-155.pdf
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author Krishan L Gupta
Aakriti Gupta
author_facet Krishan L Gupta
Aakriti Gupta
author_sort Krishan L Gupta
collection DOAJ
description Mucormycosis, although said to be less common than candidiasis and aspergillosis is becoming increasingly associated with many co-morbid conditions and immunosuppression. Renal involvement, rarely reported previously, has also been documented with increasing frequency in recent times in both diseased as well as apparently healthy individuals. The kidneys may be involved in disseminated disease or have an isolated involvement for unexplained reasons. The manifestations are very serious particularly in patients with bilateral renal mucormycosis who often develop acute kidney injury and usually have a fatal outcome. The diagnosis of the renal mucormycosis is based on renal histology sections of renal biopsy or nephrectomised kidneys. Imaging with computerised tomography with contrast is of tremendous help in early identification of these cases before histological diagnosis. Once diagnosis is established, prompt treatment with antifungal medication, including Amphotericin-B (and its lipid formulations) and posaconazole, and removal of infected tissue is necessary to save from otherwise fatal infection.
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spelling doaj.art-ff6bf5fb93d2427ead050243d6ee14602023-05-13T11:44:12ZengSociety of Diabetic Nephropathy PreventionJournal of Nephropathology2251-83632251-88192012-10-011315515910.5812/nephropathol.8111JNP_20130220165938Mucormycosis and acute kidney injuryKrishan L Gupta0Aakriti Gupta1Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.Yale University School of Medicine, New Haven CT, USA.Mucormycosis, although said to be less common than candidiasis and aspergillosis is becoming increasingly associated with many co-morbid conditions and immunosuppression. Renal involvement, rarely reported previously, has also been documented with increasing frequency in recent times in both diseased as well as apparently healthy individuals. The kidneys may be involved in disseminated disease or have an isolated involvement for unexplained reasons. The manifestations are very serious particularly in patients with bilateral renal mucormycosis who often develop acute kidney injury and usually have a fatal outcome. The diagnosis of the renal mucormycosis is based on renal histology sections of renal biopsy or nephrectomised kidneys. Imaging with computerised tomography with contrast is of tremendous help in early identification of these cases before histological diagnosis. Once diagnosis is established, prompt treatment with antifungal medication, including Amphotericin-B (and its lipid formulations) and posaconazole, and removal of infected tissue is necessary to save from otherwise fatal infection.https://nephropathol.com/PDF/JNP-1-155.pdfmucoralesrenal mucormycosisacute kidney injury
spellingShingle Krishan L Gupta
Aakriti Gupta
Mucormycosis and acute kidney injury
Journal of Nephropathology
mucorales
renal mucormycosis
acute kidney injury
title Mucormycosis and acute kidney injury
title_full Mucormycosis and acute kidney injury
title_fullStr Mucormycosis and acute kidney injury
title_full_unstemmed Mucormycosis and acute kidney injury
title_short Mucormycosis and acute kidney injury
title_sort mucormycosis and acute kidney injury
topic mucorales
renal mucormycosis
acute kidney injury
url https://nephropathol.com/PDF/JNP-1-155.pdf
work_keys_str_mv AT krishanlgupta mucormycosisandacutekidneyinjury
AT aakritigupta mucormycosisandacutekidneyinjury