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

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

The American Journal of Medicine

Volume 92, Issue 4, April 1992, Pages 437-440

https://doi.org/10.1016/0002-9343(92)90277-I Get rights and content

Abstract

The case of a 36-year-old man with the acquired immunodeficiency syndrome (AIDS) and a renal aspergilloma is reported. Aspergillus infections are uncommon in patients with AIDS. Isolated renal aspergillomas have rarely been reported in the non-AIDS population (14 cases) and have never been reported in a patient with AIDS. The patient we describe was clinically symptomatic and initially treated medically, but he did not respond to intravenous amphotericin and oral itraconazole. He eventually required nephrectomy, however, there was local recurrence of the aspergilloma postoperatively. We comment on some issues in the spectrum of Aspergillus infections in AIDS and review the literature on the manifestations and treatment of renal aspergillomas.

References (16)

S Henochowicz et al.
Cardiac aspergillosis in acquired immunodeficiency syndrome
Am J Cardiol
(1985)
RD Meyer et al.
Aspergillosis complicating neoplastic disease
Am J Med
(1973)
J Melchior et al.
Ureteral colic from a fungus ball: unusual presentation of systemic aspergillosis
J Urol
(1972)
RW Baird et al.
Diabetic ketoacidosis as the presentation of renal aspergiloma
Am J Med
(1988)
DW Denning et al.
Treatment of invasive aspergillosis with itraconazole
Am J Med
(1989)
D Chernoff et al.
Aspergillosis
JF Murray et al.
Pulmonary infectious complications of human immunodeficiency virus infection
Am Rev Respir Dis
(1990)
NK Pervez et al.
Pseudomembranous necrotizing bronchial aspergillosis

There are more references available in the full text version of this article.

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^☆: The Janssen Research Foundation provided itraconazole for compassionate use.

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Case reportRenal Aspergilloma: An unusual cause of infection in a patient with the acquired immunodeficiency syndrome☆

Abstract

Am J Cardiol

Am J Med

J Urol

Am J Med

Am J Med

Aspergillosis

Pulmonary infectious complications of human immunodeficiency virus infection

Am Rev Respir Dis

Pseudomembranous necrotizing bronchial aspergillosis

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