Acute ureteral colic from an obstructing renal aspergilloma.

Rev Infect Dis

Department of Internal Medicine, University of Cincinnati College of Medicine, Ohio 45267-0535.

Published: March 1988

Fungus balls of the renal collecting system are rarely of organisms other than Candida. A case of obstructing aspergilloma associated with acute ureteral colic is presented. The clinical features of this case are characteristic of renal aspergillomas in 10 additional cases described in the literature. Ten of the 11 patients were male. Each of the patients had an underlying disease that predisposed to fungal infection. Although all 11 patients were cured, diagnostic evaluation was often protracted as commoner causes of ureteral obstruction were excluded. Successful therapy required evacuation of the obstructing hyphal mass; open surgical procedures were necessary in five instances. Systemic amphotericin B should be reserved for patients with residual infection following removal of the fungus ball. This report emphasizes the need to consider aspergilloma in the differential diagnosis of acute ureteropelvic obstruction in the appropriate patient population.

Download full-text PDF

Source
http://dx.doi.org/10.1093/clinids/9.4.790DOI Listing

Publication Analysis

Top Keywords

acute ureteral
8
ureteral colic
8
colic obstructing
4
obstructing renal
4
renal aspergilloma
4
aspergilloma fungus
4
fungus balls
4
balls renal
4
renal collecting
4
collecting system
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!