Disseminated mucormycosis presenting as a renal mass in an human immunodeficiency virus-infected patient: A case report.
Moshawa Calvin KhabaLesedi M NevondoSydney M MoroatshehlaNdivhuho A MakhadoPublished in: Southern African journal of infectious diseases (2021)
Mucormycosis, an opportunistic fungal infection, is on the increase. Individuals at risk are those with diabetes mellitus, haematological malignancy, etc. Infections are uncommon in human immunodeficiency virus (HIV). Clinical presentations include rhinocerebral, pulmonary or disseminated forms. Risk factors should alert clinicians to a high index of suspicion. Prompt diagnosis, facilitated by radiological imaging and tissue sampling, with appropriate medical and surgical intervention can potentially improve patient outcomes. Here we describe a rare case of renal mass in a patient living with HIV presenting to casualty department with abdominal pain and fever. Radiological imaging showed a renal mass whilst histopathological findings were suggestive of mucormycosis. Management included antifungal therapy and subsequent nephrectomy. The patient improved significantly and was discharged home.
Keyphrases
- human immunodeficiency virus
- antiretroviral therapy
- hepatitis c virus
- case report
- hiv infected
- risk factors
- rare case
- hiv aids
- hiv positive
- high resolution
- abdominal pain
- healthcare
- randomized controlled trial
- pulmonary hypertension
- type diabetes
- mass spectrometry
- mesenchymal stem cells
- stem cells
- minimally invasive
- palliative care
- bone marrow
- skeletal muscle
- metabolic syndrome
- replacement therapy