| Renal aspergillosis by H. Sambatakou and D.W. Denning |
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| Aspergillosis limited to the urinary tract is a rare disease, often occurring in immunocompromised patients. Approximately 20 cases of renal aspergillosis including 3 with AIDS, 4 cases of isolated prostatic aspergillosis and 1 case of concomitant renal and prostatic aspergillosis in a non-immunocompromised patient have been reported. Not surprisingly, Aspergillus fumigatus was the most common isolate. Three different patterns of renal Aspergillus infection have been described (Flechner, 1981): disseminated aspergillosis with hematogenous renal involvement, aspergillosis of the renal pelvis with bezoars formation, and ascending panurothelial aspergillosis. Extrarenal aspergillosis of the urinary tract is sparse, with few cases of testicular and adrenal involvement being described. more... |