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We report a case of an Aspergillus fungal ball in a transplant graft kidney presenting as obstructive nephropathy. This is a rare manifestation considering the usual presentations of Aspergillus infection, which are pulmonary, rhino-cerebral, and disseminated forms. Imaging showed hydronephrosis with an echogenic material in the transplant renal pelvis, which was further found to be the fungal ball. The patient underwent a graft nephrectomy due to severe sepsis, and following that, his condition improved.

Details

1009240
Subject
Hemodialysis;
Patients;
Urogenital system;
Histopathology;
Aspergillosis;
Hydronephrosis;
Antibiotics;
Mortality;
Microscopy;
Urine;
Fungal infections;
Kidney transplants;
Ultrasonic imaging;
Creatinine;
Case reports
Identifier / keyword
fungal ball; kidney transplant complication; graft nephrectomy; fungal bezoars; aspergilloma
Title
A Case of Aspergillus Fungal Ball in a Transplant Graft Kidney
Author
Balasubramaniyan, T; Subash, Karthick S; Anbuselvam, Bharathi Sezhian; Senthilkumar, R P; Joseph, Jerry
Publication title
Cureus; Palo Alto
Volume
16
Issue
7
Publication year
2024
Publication date
2024
Publisher
Springer Nature B.V.
Source
PubMed Central
Place of publication
Palo Alto
Country of publication
Netherlands
University/institution
U.S. National Institutes of Health/National Library of Medicine
Publication subject
Medical Sciences
e-ISSN
21688184
Source type
Scholarly Journal
Language of publication
English
Document type
Case Study, Journal Article
Publication history
 
 
Online publication date
2024-07-16
Milestone dates
2024-07-16 (Accepted)
Publication history
 
 
   First posting date
16 Jul 2024
DOI
https://doi.org/10.7759/cureus.64690
ProQuest document ID
3099234125
Document URL
https://www.proquest.com/scholarly-journals/case-aspergillus-fungal-ball-transplant-graft/docview/3099234125/se-2?accountid=208611
Full text outside of ProQuest
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11327174/
Copyright
Copyright © 2024, T et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
Last updated
2024-09-02
Database
ProQuest One Academic