Gülay YETKİN, Süleyman KILIÇ, Mehmet Refik BAYRAKTAR

Mucormycosis in a case of fever with nephrolithiasis

ÖZET: Nazal orijin olmadan izole renal mukormikoz oldukça nadir bir oportunistik infeksiyondur. Burada; HIV negatif olup tekrarlayan ateş yorgunluk ve acil işeme hissi ile gelen hastada mukor infeksiyonu sunulmuştur. Üç set kan ve idrar kültürleri alınmıştır. İki adet idrar kültüründe ve idrarın direkt mikroskobik incelemesinde septasız hifli fragmentler içeren mantar elemanları görülmüş yapılan fungal kültüründe Mukor üremiştir. Hasta 1mg/kg/gün amfoterisin iki hafta verilerek tedavi edilmiş ve hasta tedaviden sonra herhangi bir rezidüel disfonksiyon olmadan taburcu edilmiştir. Bu vaka altta yatan bağışık defekti olmayan vakada bile mukor infeksiyonu yönünden kültürün önemini vurgulamaktadır.

Ateşle gelen böbrek taşı vakasında mukormikoz infeksiyonu: Vaka sunumu

ABSTRACT: Renal mucormycosis without involvement of the nasal sinuses is an extremely rare opportunistic infection. We report the case of mucormycosis who was negative for the human immunodeficiency virus who presented with fever and fatique and urging. Three sets of blood and urine cultures have collected. Two of the urine samples were revealed mucor with nonseptated hyphal fragments in direct preparation and culture also. The patient was treated with 1mg/kg/day amphotericin B for 2-weeks period. The patient had no residual dysfunction after treatment. This case suggests the importance of culture collection in fungal infection even in the absence of underlying disease

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