Renal aspergilloma: an unusual cause of infection in a patient with the acquired immunodeficiency syndrome.

Halpern, M; Szabo, S; Hochberg, E; Hammer, G S; Lin, J; Gurtman, A C; Sacks, H S; Shapiro, R S; Hirschman, S Z

Halpern, M; Szabo, S; Hochberg, E; Hammer, G S; Lin, J; Gurtman, A C; Sacks, H S; Shapiro, R S; Hirschman, S Z.

Afiliación

Halpern M; Department of Medicine, Mount Sinai Medical Center, New York, New York.

Am J Med ; 92(4): 437-40, 1992 Apr.

Article en En | MEDLINE | ID: mdl-1558091

RESUMEN

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.

Asunto(s)

Síndrome de Inmunodeficiencia Adquirida/complicaciones; Aspergilosis/complicaciones; Aspergillus fumigatus; Enfermedades Renales/complicaciones; Adulto; Aspergilosis/patología; Diagnóstico Diferencial; Humanos; Enfermedades Renales/patología; Masculino

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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aspergilosis / Aspergillus fumigatus / Síndrome de Inmunodeficiencia Adquirida / Enfermedades Renales Tipo de estudio: Diagnostic_studies Límite: Adult / Humans / Male Idioma: En Revista: Am J Med Año: 1992 Tipo del documento: Article Pais de publicación: Estados Unidos

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