Renal Aspergilloma: An unusual cause of infection in a patient with the acquired immunodeficiency syndrome

Halpern, Michele; Szabo, Susan; Hochberg, Eric; Hammer, Glenn S.; Lin, Janet; Gurtman, Alexandra C.; Sacks, Henry S.; Shapiro, Robert; Hirschman, Shalom Z.

doi:10.1016/0002-9343(92)90277-i

Cited by 33 publications

(20 citation statements)

References 13 publications

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“…To date, only 9 cases of a primary renal aspergilloma and 1 case of an acute Aspergillus nephritis [11] have been described in the AIDS population [2][3][4][5][6][7][8][9][10]. As in our case, the involvement of the kidney is usually unilateral [2,3,5], whereas Martinez-Jabaloyas et al [4] reported about a case of bilateral renal involvement. In primary renal aspergillosis, the mechanism of entry into the kidney is difficult to establish.…”

Section: Discussionmentioning

confidence: 41%

“…The definite diagnosis of a renal aspergilloma requires histological and or microbiological confirmation that is performed either by ultrasound-or CT-guided percutaneous biopsy or by nephrectomy [2,3]. We present the CT appearance of a unilateral renal aspergilloma in a patient with AIDS caused by Aspergillus fumigatus infection.…”

Section: Introductionmentioning

confidence: 99%

“…Despite the severe immunosuppression of patients with acquired immunodeficiency syndrome (AIDS), Aspergillus infections are rare in this population [2]. To our knowledge only 9 cases of renal aspergilloma have been described in patients with AIDS [2][3][4][5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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CT Appearance of a Renal Aspergilloma in a Patient with the Acquired Immunodeficiency Syndrome

Poll¹,

Koch²,

Medve³

et al. 1999

Urol Int

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The appearance of a unilateral renal aspergilloma on computed tomography is described in a 32-year-old man with acquired immunodeficiency syndrome (AIDS). Aspergillus infections are uncommon in the AIDS population. Only 9 cases of renal aspergilloma have been described in AIDS. The treatment performed was percutaneous drainage followed by antifungal drug administration and unilateral nephrectomy. This case report emphasizes the fact that renal fungal infections need to be considered in differential diagnosis of kidney infections in AIDS patients.

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Section: Discussionmentioning

confidence: 41%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

CT Appearance of a Renal Aspergilloma in a Patient with the Acquired Immunodeficiency Syndrome

Poll¹,

Koch²,

Medve³

et al. 1999

Urol Int

View full text Add to dashboard Cite

show abstract

“…As a saphrophytic species found in the natural environment, this fungus species is prevalent on a global scale but it only infects persons with certain predisposing conditions, including diabetes, chronic alcoholism, tuberculosis, and intravenous drug abuse (3). Literature data suggest that it affects transplant patients, acquired immune deficiency syndrome (AIDS) victims, persons with hematological malignancies, and recipients of chemotherapy and corticosteroid therapy to a greater extent (3,4). Aspergillosis may affect many organs although lungs are the most commonly involved organs.…”

Section: Discussionmentioning

confidence: 99%

Multimodality Imaging Findings of a Renal Aspergilloma

et al. 2016

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Background: Renal aspergillosis is a rare infection that usually occurs in persons with a predisposition for this condition. Its differential diagnosis includes primary and metastatic renal malignancies, pyelonephritis and secondary abscess formation, granulomatous disorders, and renal infarction. We aim to stress the role of multimodality imaging and percutaneous biopsy in the diagnosis of this condition. Case Report: We present diffusion weighted imaging (DWI) and positron emission tomography-computed tomography (PET-CT) findings in addition to conventional imaging modalities in a 55-year-old man with secondary renal aspergilloma. Conclusion: Radiological imaging methods are an integral part of diagnostic workup for renal aspergillosis. A definitive diagnosis is made by histopathological and/or microbiological examination of the material obtained via percutaneous biopsy under guidance of imaging methods.

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“…Despite the severe immunosuppresion of patients with AIDS, primary renal aspergillosis is an extremely rare entity [1][2][3][4][5][6]. We report one new case of renal aspergillosis in a patient with AIDS.…”

Section: Introductionmentioning

confidence: 96%

Renal Abscesses in an AIDS Patient Caused by <i>Aspergillus fumigatus</i>

Kümmerle

Wedler²

1998

Urol Int

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Background: Aspergillus abscesses of the kidneys are very rare complications of AIDS which usually have fatal outcome. The 4 patients described in the literature, 2 of whom had bilateral involvement, died due to this opportunistic infection. Methods: Case report of a 33-year-old patient with AIDS in stage C3 and aspergillus abscesses of the kidney. Results: Successful treatment of bilateral aspergillus abscesses of the kidneys with purely conservative antimycotic measures. This was largely due to stabilization of the immune status by supplementing antiretroviral treatment with the proteinase inhibitor indinavir. Conclusions: The options now available for improving immune status in AIDS also improve the treatment chances in renal aspergillosis.

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Renal Aspergilloma: An unusual cause of infection in a patient with the acquired immunodeficiency syndrome

Cited by 33 publications

References 13 publications

CT Appearance of a Renal Aspergilloma in a Patient with the Acquired Immunodeficiency Syndrome

CT Appearance of a Renal Aspergilloma in a Patient with the Acquired Immunodeficiency Syndrome

Multimodality Imaging Findings of a Renal Aspergilloma

Renal Abscesses in an AIDS Patient Caused by <i>Aspergillus fumigatus</i>

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