Candidal REnal Papillary Necrosis Treated with Bilateral Nepherectomy: Report of a Case.
- Author:
Suk Young KIM
1
;
Byung Kee BANG
;
Sang Bum KANG
;
Byung Hyun YOO
;
Yong Ho CHOI
;
Jae Pil LEE
;
Sung Ro YUN
;
Hye Soo KIM
;
Hye Kyung LEE
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Renal papillary necrosis;
Candida tropicalis;
Candidiasis
- MeSH:
Aged;
Burns;
Candida tropicalis;
Candidiasis;
Diabetes Mellitus;
Female;
Humans;
Necrosis*;
Nephrectomy;
Survivors;
Vascular Access Devices
- From:Korean Journal of Nephrology
1999;18(5):803-807
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Renal papillary necrosis(RPN) is a 4bointerstitial nephropathy accompanied by compromised medullary blood flow that ultimately results in a focal or diffuse ischemic necrosis of segments of the renal medulla. Renal papillary necrosis is infrequently reported as complication of fungal infections. Underlying condi- tions such as prematurity, immunosuppressive therapy, neoplastic disease, previous antibiotic therapy, diabetes mellitus, extensive burn and indwelling vascular catheters were found in candidal RPN. Candidal renal papillary necrosis is a extremely rare and fatal disease. Only 20 cases were reported over the past. There were only three survivors which were diagnosed were treated with antifugal agents early in the clinical course. As far as we know, this case is the first case of candidal RPN treated with bilateral nephrectomy. We report a case of candidal renal papillary necrosis in a 66-year-old diabetic woman treated with bilateral nephrectomy, along with review of the literatures.
