Isolated renal mucormycosis

Abstract

OBJECTIVE: To report a case of isolated renal mucormycosis in a previously healthy man, and to briefly review the literature relating to this rare condition. CLINICAL FEATURES: An 18-year-old man presented with a two-month history of fevers followed by two weeks of severe left loin pain. Initial treatment with antibiotics failed and abdominal computed tomography and renal perfusion scans were requested, demonstrating a non-functioning left kidney. INTERVENTION AND OUTCOME: Nephrectomy was performed, the histology of which was consistent with mucormycosis. Amphotericin B was administered for one month. The patient made a complete recovery and no underlying disorder was found. CONCLUSIONS: This man is believed to be the first reported Australian with isolated renal mucormycosis, and only the second person worldwide in whom an identifiable underlying disorder was absent.